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Home
Registration Form
Ziti
School Payments
Summer Camp
AcademicRefresher
Bowling2020
MM2020
Registration Form
Home
Registration Form
Ziti
School Payments
Summer Camp
AcademicRefresher
Bowling2020
MM2020
Contact Us
Lily Spera
Principal
518-785-6453
Lily.Spera
stambroselatham.com
Kelly Sano
Administrative Assistant
5187856453
Kelly.Sano
stambroselatham.com
School Registration
The maximum number of form submissions has been reached. This form is currently not available.
Family Last Name
REQUIRED
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Please enter valid data.
Father Last Name (if different)
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Father First Name
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Father Cell Phone
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Father Employer
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Father Work Phone
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Mother Last Name (if different)
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Mother First Name
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Mother Cell Phone
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Mother Employer
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Mother Work Phone
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Home Address
REQUIRED
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City
REQUIRED
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State
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AK
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KS
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Zip
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Please enter a zip code.
Mailing Address (if different)
Additional Home Address (if applicable)
Email
REQUIRED
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Please enter an email address.
Additional Email
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Home Phone Number
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Emergency Contact(s)
REQUIRED
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Emergency Contact 1
Emergency Contact First and Last Name
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Emergency Contact Phone Number
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Emergency Contact 2
Emergency Contact First and Last Name
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Emergency Contact Phone Number
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Emergency Contact 3
Emergency Contact First and Last Name
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Emergency Contact Phone Number
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Emergency Contact 4
Emergency Contact First and Last Name
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Emergency Contact Phone Number
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Number of Children
REQUIRED
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Children 1
Child First Name
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Child Last Name (if different)
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Date of Birth
Please enter a date.
Country of Birth
REQUIRED
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Please enter valid data.
Gender
Female
Male
Grade in the Fall
Pre K Full Time (5 Day)
Pre K (3 Day) M,W,F
Pre K (2 Day) T & Th
Kindergarten
Grades 1-6 (1 child)
Grades 1-6 (2 children)
Grades 1-6 (3 children)
Grades 1-6 (4 children)
District of Residence
Please enter valid data.
Does child have an IEP
REQUIRED
Yes
No
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If child has an IEP, in which school district?
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Ethnicity
Hispanic or Latino
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
Student's Religion
Please enter valid data.
Has this student received the Sacrament of Baptism?
Yes, please list details in next box
No
No, but I would like to discuss this and learn more.
If baptized, please list church, location and date
Has this student had their First Reconciliation?
Yes, please list details in next box
No
No, but I would like to discuss this and learn more.
First Reconciliation
Has this student received their First Holy Communion?
Yes, please list details in next box
No
No, but I would like to discuss this and learn more.
First Communion
Home Parish and location
Allergies?
Yes, please list in next box
No
Allergies
Children 2
Child First Name
Please enter valid data.
Child Last Name (if different)
Please enter valid data.
Date of Birth
Please enter a date.
Country of Birth
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
Female
Male
Grade in the Fall
Pre K Full Time (5 Day)
Pre K (3 Day) M,W,F
Pre K (2 Day) T & Th
Kindergarten
Grades 1-6 (1 child)
Grades 1-6 (2 children)
Grades 1-6 (3 children)
Grades 1-6 (4 children)
District of Residence
Please enter valid data.
Does child have an IEP
REQUIRED
Yes
No
Please fill out this field.
If child has an IEP, in which school district?
Please enter valid data.
Ethnicity
Hispanic or Latino
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
Student's Religion
Please enter valid data.
Has this student received the Sacrament of Baptism?
Yes, please list details in next box
No
No, but I would like to discuss this and learn more.
If baptized, please list church, location and date
Has this student had their First Reconciliation?
Yes, please list details in next box
No
No, but I would like to discuss this and learn more.
First Reconciliation
Has this student received their First Holy Communion?
Yes, please list details in next box
No
No, but I would like to discuss this and learn more.
First Communion
Home Parish and location
Allergies?
Yes, please list in next box
No
Allergies
Children 3
Child First Name
Please enter valid data.
Child Last Name (if different)
Please enter valid data.
Date of Birth
Please enter a date.
Country of Birth
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
Female
Male
Grade in the Fall
Pre K Full Time (5 Day)
Pre K (3 Day) M,W,F
Pre K (2 Day) T & Th
Kindergarten
Grades 1-6 (1 child)
Grades 1-6 (2 children)
Grades 1-6 (3 children)
Grades 1-6 (4 children)
District of Residence
Please enter valid data.
Does child have an IEP
REQUIRED
Yes
No
Please fill out this field.
If child has an IEP, in which school district?
Please enter valid data.
Ethnicity
Hispanic or Latino
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
Student's Religion
Please enter valid data.
Has this student received the Sacrament of Baptism?
Yes, please list details in next box
No
No, but I would like to discuss this and learn more.
If baptized, please list church, location and date
Has this student had their First Reconciliation?
Yes, please list details in next box
No
No, but I would like to discuss this and learn more.
First Reconciliation
Has this student received their First Holy Communion?
Yes, please list details in next box
No
No, but I would like to discuss this and learn more.
First Communion
Home Parish and location
Allergies?
Yes, please list in next box
No
Allergies
Children 4
Child First Name
Please enter valid data.
Child Last Name (if different)
Please enter valid data.
Date of Birth
Please enter a date.
Country of Birth
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
Female
Male
Grade in the Fall
Pre K Full Time (5 Day)
Pre K (3 Day) M,W,F
Pre K (2 Day) T & Th
Kindergarten
Grades 1-6 (1 child)
Grades 1-6 (2 children)
Grades 1-6 (3 children)
Grades 1-6 (4 children)
District of Residence
Please enter valid data.
Does child have an IEP
REQUIRED
Yes
No
Please fill out this field.
If child has an IEP, in which school district?
Please enter valid data.
Ethnicity
Hispanic or Latino
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
Student's Religion
Please enter valid data.
Has this student received the Sacrament of Baptism?
Yes, please list details in next box
No
No, but I would like to discuss this and learn more.
If baptized, please list church, location and date
Has this student had their First Reconciliation?
Yes, please list details in next box
No
No, but I would like to discuss this and learn more.
First Reconciliation
Has this student received their First Holy Communion?
Yes, please list details in next box
No
No, but I would like to discuss this and learn more.
First Communion
Home Parish and location
Allergies?
Yes, please list in next box
No
Allergies
Children 5
Child First Name
Please enter valid data.
Child Last Name (if different)
Please enter valid data.
Date of Birth
Please enter a date.
Country of Birth
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
Female
Male
Grade in the Fall
Pre K Full Time (5 Day)
Pre K (3 Day) M,W,F
Pre K (2 Day) T & Th
Kindergarten
Grades 1-6 (1 child)
Grades 1-6 (2 children)
Grades 1-6 (3 children)
Grades 1-6 (4 children)
District of Residence
Please enter valid data.
Does child have an IEP
REQUIRED
Yes
No
Please fill out this field.
If child has an IEP, in which school district?
Please enter valid data.
Ethnicity
Hispanic or Latino
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
Student's Religion
Please enter valid data.
Has this student received the Sacrament of Baptism?
Yes, please list details in next box
No
No, but I would like to discuss this and learn more.
If baptized, please list church, location and date
Has this student had their First Reconciliation?
Yes, please list details in next box
No
No, but I would like to discuss this and learn more.
First Reconciliation
Has this student received their First Holy Communion?
Yes, please list details in next box
No
No, but I would like to discuss this and learn more.
First Communion
Home Parish and location
Allergies?
Yes, please list in next box
No
Allergies
Please provide a copy of your child(ren) birth certificate. Copies can be brought in to the office, mailed to the school or emailed to: school@stambroselatham.com. Thank you.
Non-refundable Registration Fee
REQUIRED
$175 will be applied to a tuition payment.
250
– Individual
500
– Registering 2 or more
Please fill out this field.
By checking below I, the above named person, agree that I will remit tuition payments as follows (please choose one option):
Payment will be made in full no later than August 1, 2020 through FACTS.
Ten payments to be made through FACTS beginning August 2020
I am applying for financial aid in the amount listed below. I understand that I will be notified if I am eligible in June. Until notified, I understand that I am responsible for the full tuition amount.
REQUIRED
Yes, I am applying and I understand.
No, I am not applying for financial assistance.
Please fill out this field.
It is the tuition policy of the Albany Diocesan School Board to prohibit a student from entering class on the opening day of school if tuition payments are not current in accordance with the enrollment contract.
By checking the box below, I am responsible for all payments of all tuition and any after-school charges. This agreement is made between St. Ambrose School and me, the undersigned parent, guardian or another party responsible for the payment of all tuition charges.
I Agree
Please select this field.
Total:
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