St. Monica Academy

5115 N. Mont Clare Ave., Chicago, IL 60656
Ph: 773.631.7880 Fax: 773.631.3266

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School Year 2023-2024 Registration

- Prospective Families

Welcome to all new families who will be enrolling their child(ren) in St. Monica Academy for the 2023-2024 school year! Please complete the following steps to get registered, complete and provide all documentation needed. We are excited you are joining the St. Monica community!

Begin the registrion process by completing the form below. Also, below this form you will an outline of all the steps needed in the registration process.
The maximum number of form submissions has been reached. This form is currently not available.
- Section I: New Student Information
  
  Student First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Middle Name Please enter valid data.
  
  Student Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student Birth Date REQUIRED
  MM/DD/YYYY
  Please fill out this field. Please enter a date.
  
  Gender REQUIRED Please fill out this field.
  
  Oldest/Only child REQUIRED Please fill out this field.
  
  Race (check all that apply) REQUIRED Hispanic/Latino Black/African American Asian White Native American Native Hawaiian/Pacific Islander Alaskan Native Please fill out this field.
  
  Student's Country of Birth REQUIRED Please fill out this field.
  
  Student's Year Immigrated (if applicable)
  
  Grade Level Upon Entry REQUIRED
  Grade placement is based on the child's age as of September 1st of the school year. Example: Only if the child is at least 3 years old on September 1st can s/he be placed in PreK3.
  Please fill out this field.
  
  All Languages Spoken at Home (incld. English) REQUIRED Please fill out this field. Please enter valid data.
  
  Last School Attended - School Name or N/A REQUIRED
  Enter N/A if not applicable
  Please fill out this field. Please enter valid data.
  
  Last School Attended - School's City or N/A REQUIRED
  Enter N/A if not applicable
  Please fill out this field. Please enter valid data.
  
  Religion Catholic REQUIRED Please fill out this field.
  
  Identify Religion if Non-Catholic Please enter valid data.
  
  Does this Student Have Any Major Physical Disabilities? REQUIRED Please fill out this field.
  
  Student's Primary Residence - Street Address, Apartment/Unit# REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field. Please enter valid data.
  
  Zip Code REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism - Church Name and Date or N/A REQUIRED
  Write N/A if not Applicable
  Please fill out this field. Please enter valid data.
  
  Reconciliation - Church Name and Date or N/A REQUIRED
  Write N/A if not Applicable
  Please fill out this field. Please enter valid data.
  
  First Communion - Church Name and Date or N/A REQUIRED
  Write N/A if not Applicable
  Please fill out this field. Please enter valid data.
  
  Confirmation - Church Name and Date or N/A REQUIRED
  Write N/A if not Applicable
  Please fill out this field. Please enter valid data.
  
  Total number of children in family already currently enrolled at St. Monica Academy REQUIRED Please fill out this field.
- New Student's Sibling Information
  
  One sibling is set by defualt but you can increase or decrease that in the box below called "Number of Siblings".
- Number of Siblings - increase or decrease as appropriate REQUIRED Please fill out this field.
  
  Sibling 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  School or N/A REQUIRED
  If not in school, please note N/A
  Please fill out this field. Please enter valid data.
  
  Sibling 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  School or N/A REQUIRED
  If not in school, please note N/A
  Please fill out this field. Please enter valid data.
  
  Sibling 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  School or N/A REQUIRED
  If not in school, please note N/A
  Please fill out this field. Please enter valid data.
  
  Sibling 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  School or N/A REQUIRED
  If not in school, please note N/A
  Please fill out this field. Please enter valid data.
- Section II: Mother, Father and Guardian Info
- Please enter in the Mother and Father's information below. You can also use the Guardian box to add information for non-mother/father guardians.
- Section II: Mother's Info
  
  Mother is Student's Guardian
  
  Mother Lives at Student's Primary Residence
  
  Mother is a SMA Alumni
  
  Mother's Status
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Mother's Primary Phone Number Maximum 20 characters Please enter a phone number.
  
  Mother's Secondary Phone Number Maximum 20 characters Please enter a phone number.
  
  Mother's Work Phone Number Maximum 20 characters Please enter a phone number.
  
  Mother's Email Please enter an email address.
  
  Mother's Occupation Please enter valid data.
  
  Mother's Place of Employment Please enter valid data.
  
  Mother's Address of Employment Please enter valid data.
  
  Mother is a Parishioner of St. Moncia's
  
  If Yes, Please Indicate the Envelope Number Please enter valid data.
  
  Parish Name If Registered at a Parish Other Than St. Monica's Please enter valid data.
- Section II: Father's Info
  
  Father is Student's Guardian
  
  Father Lives at Student's Primary Residence
  
  Father is a SMA Alumni
  
  Father's Status
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Father's Primary Phone Number Maximum 20 characters Please enter a phone number.
  
  Father's Secondary Phone Number Maximum 20 characters Please enter a phone number.
  
  Father's Work Phone Number Maximum 20 characters Please enter a phone number.
  
  Father's Email Please enter an email address.
  
  Father's Occupation Please enter valid data.
  
  Father's Place of Employment Please enter valid data.
  
  Father's Address of Employment Please enter valid data.
  
  Father is a Parishioner of St. Monica's
  
  If Yes, Please Indicate the Envelope Number Please enter valid data.
  
  Parish Name If Registered at a Parish Other Than St. Monica's Please enter valid data.
- Section II: Guardian Info
  
  Please adjust the box below that says "Number of Guardians - increase or decrease as appropriate" use this box if the Guardian/s is different then the Mother and Father.
- Number of Guardians - increase or decrease as appropriate REQUIRED Please fill out this field.
  
  Section II: Guardian 1
  
  Relationship to Student
  
  Relationship to Student if Other Please enter valid data.
  
  Lives at Student's Primary Residence
  
  Guardian is a SMA Alumni
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Primary Phone Number Maximum 20 characters Please enter a phone number.
  
  Secondary Phone Number Maximum 20 characters Please enter a phone number.
  
  Work Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Occupation Please enter valid data.
  
  Place of Employment Please enter valid data.
  
  Address of Employment Please enter valid data.
  
  Guardian is a Parishioner of St. Moncia's
  
  If Yes, Please Indicate the Envelope Number Please enter valid data.
  
  Parish Name If Registered at a Parish Other Than St. Monica's Please enter valid data.
  
  Section II: Guardian 2
  
  Relationship to Student
  
  Relationship to Student if Other Please enter valid data.
  
  Lives at Student's Primary Residence
  
  Guardian is a SMA Alumni
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Primary Phone Number Maximum 20 characters Please enter a phone number.
  
  Secondary Phone Number Maximum 20 characters Please enter a phone number.
  
  Work Phone Number Maximum 20 characters Please enter a phone number.
  
  Email Please enter an email address.
  
  Occupation Please enter valid data.
  
  Place of Employment Please enter valid data.
  
  Address of Employment Please enter valid data.
  
  Guardian is a Parishioner of St. Moncia's
  
  If Yes, Please Indicate the Envelope Number Please enter valid data.
  
  Parish Name If Registered at a Parish Other Than St. Monica's Please enter valid data.
- Section III: Financial Responsibility
- Please list the persons responsibilble for the tutition to St. Monica Academy. This form defaults to two people, but you can increase or decrease that in the field named "Number of People Financially Responsible for Tuition".
- Number of People Financially Responsible for Tuition - increase or decrease as appropriate REQUIRED
  Please list the persons responsibilble for the tutition to St. Monica Academy. This form defaults ot one person, but you can adjust that in the field named "Financial Responsibility"
  Please fill out this field.
  
  Section III: Financial Responsibility 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Student REQUIRED Please fill out this field.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field. Please enter valid data.
  
  Zip Code REQUIRED Please fill out this field. Please enter valid data.
  
  Section III: Financial Responsibility 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Student REQUIRED Please fill out this field.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field. Please enter valid data.
  
  Zip Code REQUIRED Please fill out this field. Please enter valid data.
  
  Section III: Financial Responsibility 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Student REQUIRED Please fill out this field.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field. Please enter valid data.
  
  Zip Code REQUIRED Please fill out this field. Please enter valid data.
  
  Section III: Financial Responsibility 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Student REQUIRED Please fill out this field.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field. Please enter valid data.
  
  Zip Code REQUIRED Please fill out this field. Please enter valid data.
- Section IV: Doctor and Dentist Information
  
  Doctor's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Doctor's Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Dentist information is not required for Pre-K students. For Pre-K students, please note "Pre-K" in the "Dentist Name" field and use 000 000 0000 for the phone number.
  
  Dentist's Name REQUIRED
  For Pre-K students please note "Pre-K" here
  Please fill out this field. Please enter valid data.
  
  Dentist's Phone Number REQUIRED Maximum 20 characters
  Not required for Pre-K, for PreK please note 000 000 0000
  Please fill out this field. Please enter a phone number.
- Section V: Other Emergency Contact Information
  
  The parents/guardians will be contacted first, if we cannot reach the parents/guardians we will use this emergency contact.A miniumun of one Emergency Contact is required. You can adjust how many you are entering in the box below called "Number of Emergency Contacts"
- Number of Emergency Contacts REQUIRED
  A minimum of 1 Emergency Contact is required. This form is set to accept three but you can adjust that in the box below
  Please fill out this field.
  
  Section V: Emergency Contact 1
  
  Relationship to Student REQUIRED Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Primary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Secondary Phone Number Maximum 20 characters Please enter a phone number.
  
  Medical Accident Insurance - I/We hereby declare that our family insurance will protect my child(ren) in case of a medical/accident/emergency REQUIRED I/We agree Please fill out this field.
  
  Name of parents/guardians agreeing to Medical/Accident Insurance Statement REQUIRED Please fill out this field. Please enter valid data.
  
  Name of parents/guardians agreeing to Medical/Accident Insurance Statement Please enter valid data.
  
  Section V: Emergency Contact 2
  
  Relationship to Student REQUIRED Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Primary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Secondary Phone Number Maximum 20 characters Please enter a phone number.
  
  Medical Accident Insurance - I/We hereby declare that our family insurance will protect my child(ren) in case of a medical/accident/emergency REQUIRED I/We agree Please fill out this field.
  
  Name of parents/guardians agreeing to Medical/Accident Insurance Statement REQUIRED Please fill out this field. Please enter valid data.
  
  Name of parents/guardians agreeing to Medical/Accident Insurance Statement Please enter valid data.
  
  Section V: Emergency Contact 3
  
  Relationship to Student REQUIRED Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Primary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Secondary Phone Number Maximum 20 characters Please enter a phone number.
  
  Medical Accident Insurance - I/We hereby declare that our family insurance will protect my child(ren) in case of a medical/accident/emergency REQUIRED I/We agree Please fill out this field.
  
  Name of parents/guardians agreeing to Medical/Accident Insurance Statement REQUIRED Please fill out this field. Please enter valid data.
  
  Name of parents/guardians agreeing to Medical/Accident Insurance Statement Please enter valid data.
  
  Section V: Emergency Contact 4
  
  Relationship to Student REQUIRED Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Primary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Secondary Phone Number Maximum 20 characters Please enter a phone number.
  
  Medical Accident Insurance - I/We hereby declare that our family insurance will protect my child(ren) in case of a medical/accident/emergency REQUIRED I/We agree Please fill out this field.
  
  Name of parents/guardians agreeing to Medical/Accident Insurance Statement REQUIRED Please fill out this field. Please enter valid data.
  
  Name of parents/guardians agreeing to Medical/Accident Insurance Statement Please enter valid data.
- Section VI: Parent /Guardian Release and Waivers
  
  Photo Release
  
  On occasion, the school uses photos and/or academic work of students in local publications (e.g., website, yearbook, advertisements, bulletin articles, and other public relations material. By initialing and signing below, I give permission for the school to publish my child(ren)’s photo or academic work in any format including group or individual photos.
  
  Acceptable Use
  
  I / we have read the school technology guidelines, and have discussed them with my child(ren). In consideration of the privilege of my child (ren) using the school’s electronic communications system and in consideration of having access to the public networks, I / we hereby release the school, its operators, and any institutions with which they are affiliated from any and all claims and damages of any nature arising from my child’s use of, or inability to use, the system, including, without limitation, the types of damage identified in the Acceptable Use Procedures (AUP).
  
  I / We understand that access to the school technology resources is not a private activity and that the school will monitor student activity on any of the school resources including but not limited to the computer system, e-mail system, and other electronic devices and programs.
  
  I / we have read the school’s technology procedures and regulations in School Handbook and agree to abide by these provisions. Violation of these provisions may result in suspension or revocation of system access. I / We also understand that any actions taken through the school network that are in violation of the school disciplinary code will be handled in accordance with the code. Appropriate legal authorities may be contacted if there is any suspicion of illegal activity.
  
  By signing below, I give my child(ren) permission to participate in the school’s electronic communications system including the internet, which is protected by a Sonic Wall. I/We certify that the information contained on this form is correct.
  
  Release of Information
  
  The school and its agents have permission to confer and exchange academic and clinical (psychiatric, behavioral, school performance, medical, substance abuse, psychological, social, recreational, vocational, sessions) records and communications including any evaluations and history, social history, educational plans, grades and reports, medical testing, speech and language development screening, psychological evaluation, behavioral incidences, and any written or verbal information disclosed in session with the last school that they attended. This information may be used for the purpose of instituting and reviewing an educational plan, coordinating school services, and ensuring the safety of the student and the school.
  
  This agreement is valid from when it is signed until the date the student transfers or grades from the school. This authorization may be revoked any time prior to the date upon written request to the principal. Information released prior to the revocation is not affected.
  
  School Policies/Tuition
  
  I/We acknowledge that the St. Monica Handbook is posted on the St. Monica Academy website, www.school.stmonicachicago.com for my family to read and reference. It can be accessed in the “Current Families” tab under “Forms, Docs & Links”. I/We understand that acceptance of registration and enrollment is conditional based on the family staying current with tuition payments and following the policies of the school and the Archdiocese of Chicago. Failure to do either of these things may result in disciplinary or other action by the school including exclusion from school and/or expulsion from school. By signing below, I agree that I have read the school policies and procedures and agree to be bound by them and the statement above.
  
  You can view a pdf of this agreement here:
  
  Parent/Guardian Releases and Waivers
  
  I/We agree with the above as outlined in the the Parent Release and Waivers sections of this from REQUIRED I/We agree Please fill out this field.
  
  Name/s of parent/guardian agreeing to the "Parent/Guardian Release and Waiver Section" REQUIRED Please fill out this field. Please enter valid data.
  
  Name/s of parent/guardian agreeing to the "Parent/Guardian Release and Waiver Section" Please enter valid data.
- Section VII: Submission
- This form defaults to one email, but you can increase or decrease that in the field named "Number of People Financially Responsible for Tuition".
- Number of Email Addresses for Submission and Next Steps - this can be increased to 2 emails REQUIRED Please fill out this field.
  
  Submission Email 1
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Submission Email 2
  
  Email REQUIRED Please fill out this field. Please enter an email address.
Submit

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Registration Steps
STEP 1: Complete the online form above

STEP 2: After completion of the online form above the following is due immediately
- Review the Tuition and Fee Matrix and choose a payment plan
- Register on the tuition payment FACTS website
- Registration fee of $200 per family paid through FACTS and is non-refundable
- FACTS online $40 yearly fee paid through FACTS
- Instructional Material fee $350 per student full day Preschool and K-8; $270 for half day Preschool due by July 31 and will guarantee your child(ren)’s enrollment. This fee is payable through FACTS and is non-refundable
- Provide and/or complete and sign the following and mail or drop off at the school
St. Monica Academy
Student Registration
5115 N. Mont Clare Ave., Chicago, IL 60656
- Tuition Agreement, please provide the original signed document returned the following after reviewing the Tuition and Fee Matrix and choosing a payment plan
  - K-8 Agreement
  - Preschool Agreement
- Photocopy of the Official birth certificate or passport.
- Photocopy of the Baptismal Certificate (if the child is Catholic and intends to participate in preparation for Holy Communion, Reconciliation, and/or Confirmation)
Important notes
- Grade placement is based on the child's age as of September 1st of the school year. Example: Only if the child is at least 3 years old on September 1st can s/he be placed in PreK3.
- Transfer students will also be asked to provide a copy of the most recent report card and other pertinent educational documents (Eg: Individual Education Plan (IEP) or 504 Plan). Transfer students, grades 2 thru 8, must meet with the principal before registration and records from previous school must be sent to St. Monica Academy
STEP 3: The following need to be provided BEFORE the first day of school. Provide and/or complete and sign the following and mail or drop off at the school
St. Monica Academy
Student Registration
5115 N. Mont Clare Ave., Chicago, IL 60656
- Health Examination – PreK 3 & 4, Kdg and 6th Grade
- Dental Examination – Kdg, 2nd & 6th Grade
- Eye Examination – Kindergarten only
- Review the Extended Care Handbook
- Complete the Extended Care Registration Form
- Gym Uniform Order Form Required for K-8
Important notes:
- Immunization Record and all required exams as per the State of Illinois. Most pediatricians will have these documents for you. If not, forms are available in the Forms and Documents Library.