Enrollment FormEnrollment Enrollment Form InstructionsIf you are a new family and have not already submitted an application, please submit an application before completing the enrollment form. This form is for student enrollment and re-enrollment only. New applications can be submitted here. Thank you.Complete the form.Enter the number of enrolling or re-enrolling children.Enter payment information to submit the $250 per child enrollment or re-enrollment fee.Submit Form.Fields marked with an * are required.Family Information Last Name * Father's Name * Mother's Name * Primary Email Address * Primary Phone Number * Primary Address * Primary Address Primary Address Primary Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Father's Information Phone Number * Email Address * Please double-check the email address to ensure it is entered correctly in order for us to respond to your application request. Occupation * Religious Denomination * Mother's Information: Phone Number * Email Address * Please double-check the email address to ensure it is entered correctly in order for us to respond to your application request. Occupation * Religious Denomination * Permission to photograph/video (for school/atrium related promotional materials) * Yes No Are you enrolling a new student(s), re-enrolling a current student(s) or both? New Student Enrollment Student Re-enrollment Both Names, birthdates and program choices for re-enrolling children only Child Full Name * Child Full Name First First Middle Middle Last Last Date of Birth * Age as of September 30, 2024 * Years / Months * Sex * Male Female Program * Primary Montessori 4 Half Days and ½ Day Atrium (Ages 2 ½ to 4 ½ years or Pre-Kindergarten) Primary Montessori (3-6 years. Includes Kindergarten or 1st grade depending on DOB) Lower Elementary (ages 6-8 years, 1st and 2nd grades, 3rd grade may overlap with Pre-Grammar depending on needs of the child) Pre-Grammar (Ages 8-9 years, 3rd and 4th grades, 3rd grade may overlap with Lower Elementary depending on needs of the child) Grammar (Ages 10-12 years, 5th and 6th grades) Is your child baptized? * Yes NoHas your child received First Holy Communion? * Yes No Month / Year of First Holy Communion * If no, will he or she be receiving First Holy Communion this year? * Yes No Are there any medical conditions/medications we need to be aware of? * Anything else you’d like us to know? * Add Remove New Student Individual Child’s Information: (please complete the following pages for each individual child) Child Full Name * Child Full Name First First Middle Middle Last Last Date of Birth * Age as of September 30, 2024 * Years / Months * Sex * Male Female Program * Primary Montessori 4 Half Days and ½ Day Atrium (Ages 2 ½ to 4 ½ years or Pre-Kindergarten) Primary Montessori (3-6 years. Includes Kindergarten or 1st grade depending on DOB) Lower Elementary (ages 6-8 years, 1st and 2nd grades, 3rd grade may overlap with Pre-Grammar depending on needs of the child) Pre-Grammar (Ages 8-9 years, 3rd and 4th grades, 3rd grade may overlap with Lower Elementary depending on needs of the child) Grammar (Ages 10-12 years, 5th and 6th grades) Is your child baptized? * Yes NoHas your child received First Holy Communion? * Yes No Month / Year of First Holy Communion * If no, will he or she be receiving First Holy Communion this year? * Yes NoIf Primary, is your child toilet trained? * Yes NoDoes your child nap? * Yes No If yes, for how long? * Does your child dress independently? * Yes No Describe any special circumstances surrounding your child’s birth: * How do you anticipate your child will react to a new school situation? * How many hours per day/week does your child watch television or play video games? * Does your child have extended family in the area? * Yes No If yes, please describe: Describe briefly your child’s temperament: * What types of activities does your child enjoy? * Please describe your child’s previous school, Montessori and/or atrium experience(s) with number of years/age attended: * Please describe your child’s level of proficiency with reading, and list a book that your child has recently read: * Does your child write in print and/or cursive? * Print Cursive N/A What is your child’s highest level of proficiency in writing? * Letters Words Sentences Paragraphs N/A Which of the 4 basic math operations has your child already studied? (Check all that apply): * Addition Subtraction Multiplication Division N/A Please describe any allergies we should be aware of (this particularly pertains to food allergies for children in the Primary Montessori class who prepare and share a communal snack each morning): * Are there any medical conditions/medications we need to be aware of? * Anything else you’d like us to know? * Add Remove Authorized Persons Please list any family members or friends that you authorize to collect your child(ren) from school or atrium: (Please note that we will not release your child(ren) to anyone who is not on this list. Additions or deletions must be submitted in writing and signed by a parent.) This only needs to be filled out once per family.Name Name First First Last Last Relationship Add Remove DisclaimerDivinum Auxilium Academy admits students of any race, color, national and ethnic origin to all rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color or national and ethnic origin in administration of its educational policies, admissions policies, scholarship and/or loan programs, and athletic and other school administered programs. Tuition AgreementTuition and Fees for the 2024-2025 Academic YearGrammar Class 4 Full Days and ½ day Atrium (5th and 6th Grades)Tuition: $8700Materials fee: $150Pre-Grammar Class 4 Full Days and ½ Day Atrium (3rd and 4th Grades)Tuition: $8250Materials fee: $150Lower Elementary Montessori 4 Full Days and ½ Day Atrium (1st and 2nd Grades)Tuition: $7800Materials fee: $100Primary Montessori 4 Full Days and ½ Day Atrium (Ages 4 ½ to 6 years or Pre-K through Kindergarten or 1st Grade depending on DOB)Tuition: $7200Materials fee: $100Primary Montessori 4 Half Days and ½ Day Atrium (Ages 2 ½ to 4 ½ years or Pre-Kindergarten)Tuition: $5300Materials fee: $50* Sibling Discounts: There is a 5% discount for the first sibling and a 10% discount for additional siblings.The oldest sibling pays the full tuition, and the discount applies to subsequent siblings with an annual family cap between Divinum Auxilium Academy, St. Joseph the Just, and St. Edith Stein, of $40,000.Enrollment / Re-enrollment DepositReturning families only: Please include a $250 non-refundable deposit per child in order to reserve a place. This amount will be applied to tuition. You may pay via credit card using this form or mail a check made out to Divinum Auxilium Academy. Your child/children will be considered enrolled once the deposit has been paid.New families: Once your children have been accepted, please complete this form and pay the required non-refundable $250 deposit per enrolling child via credit card. This will immediately reserve your child's space with DAA.Withdrawals and Refunds: We consider a family’s enrollment and deposit a well-intentioned commitment to enroll their children. If, however a withdrawal becomes necessary for reasons of extreme emergency,* refunds on a pro-rated basis will be issued if the vacating seat can be filled. If the vacating seat cannot be filled you agree to pay the remaining tuition for the current school year. *Acts of God, physical/mental disability with confirmation from a doctor, loss of sole breadwinner income.Trial Period: Acceptance is provisional based on a 3-week trial period. We reserve the right to withdraw the provisional acceptance of a student for any reason. If within 3 weeks we determine the acceptance can no longer be honored, you will be notified and a refund of tuition minus application fee (if applicable), deposit, and 3 weeks of tuition, will be issued.Late Fee: **The due date for monthly tuition is the fifth of each month; September through May. A late fee of $25 will automatically be assessed if payment is not received by the end of the school day on the 5th of the month. (If there are financial circumstances that preclude you from paying by the due date, we are happy to work with you to set up financial arrangements, but you must contact the office by the 1st.) Tuition payments over 30 days in arrears warrants automatic suspension until account becomes current.Payment OptionsPayment Options * Payment in full due by Sept. 5th, 2024 (3% discount applied for this option) Monthly Installment due by the 5th of each month beginning Sept. 5th, 2024 and ending May 5th, 2025 for 9 consecutive months. Monthly tuition deducted by ACH debit from bank account in nine monthly installments is available and encouraged.Parent Payment Attestation * I have read and agree to the payment schedule selected: (Please make checks payable to: Divinum Auxilium Academy and mail to 6294 Browntown Rd., Front Royal, VA 22630)Need Based Financial Aid Please indicate if you will be applying for need based financial aid and fill out the financial aid application. Please submit the deposit and Tuition Agreement. The Payment Option 1 discount and financial aid awards cannot be combined. Financial Aid must be requested by May 15, 2024.Click to Download Financial Aid Form Name of the parent or guardian completing this form: * Name of the parent or guardian completing this form: First First Last Last Signature * Clear How do you wish to pay? (New families must pay via credit card.) * Check Credit Card Enrollment / Reenrollment Fee * $250 Enrollment / Reenrollment fee Number of Children Applying * Total I have entered the correct number of children enrolling or reenrolling into the "Number of Children Applying" field above. * Yes Credit Card If you are human, leave this field blank. Submit
