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Enrollment

- School
Contact Us
- Lily Spera
  
  Principal
  
  518-785-6453
  Lily.Sperastambroselatham.com
- Kelly Sano
  
  Administrative Assistant, Director of Morning and Aftercare Program
  
  518-785-6453 x320
  Kelly.Sanostambroselatham.com

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- Parent/Guardian #1 Information
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Main Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Main Phone Number is a: REQUIRED Please fill out this field.
  
  Additional Phone Number Please enter a phone number.
  
  Additional Phone Number is a:
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Employer REQUIRED Please fill out this field. Please enter valid data.
- Parent/Guardian #2 Information
  
  Last Name Please enter valid data.
  
  First Name Please enter valid data.
  
  Main Phone Number Please enter a phone number.
  
  Main Phone Number is a:
  
  Additional Phone Number Please enter a phone number.
  
  Additional Phone Number is a:
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Employer Please enter valid data.
- Number of Students to be Enrolled REQUIRED Please fill out this field.
  
  Student 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Country of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Ethnicity REQUIRED Please fill out this field.
  
  Race REQUIRED American Indian or Alaska Native Asian Black or African American Native Hawaiian/Other Pacific Islander White Please fill out this field.
  
  Home Street, Apt/Suite REQUIRED Please fill out this field.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  The student resides with: REQUIRED Please fill out this field.
  
  District of Residence REQUIRED Please fill out this field. Please enter valid data.
  
  Mailing Address (if different from Home)
  
  Enrolling Grade REQUIRED Please fill out this field.
  
  Enrolling Pre-Kindergarten Program (if applicable)
  
  Does the student have an Individualized Education Plan (IEP)? REQUIRED Yes No Please fill out this field.
  
  Home Parish (if applicable)
  
  Has the student been Baptized (not a requirement to enroll)? REQUIRED Yes No No, but I would like more information. Please fill out this field.
  
  If yes, please indicate the Baptismal Details:
  
  Has the student received his/her First Reconciliation (not a requirement to enroll)? Yes No No, but I would like more information.
  
  If yes, please indicate the First Reconciliation Details:
  
  Has the student received his/her First Holy Communion (not a requirement to enroll)? Yes No No, but I would like more information.
  
  If yes, please indicate the First Holy Communion Details:
  
  Primary Care Physician (PCP) Name REQUIRED Please fill out this field. Please enter valid data.
  
  PCP Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Dentist Name Please enter valid data.
  
  Dentist Phone Number Please enter a phone number.
  
  The student has allergies: REQUIRED Yes No Please fill out this field.
  
  Please list student's allergies:
  
  Please provide a copy of your child's birth certificate, immunization record, and Baptismal certificate (if applicable). Copies can be brought in to the school office, mailed to the school, or emailed to kelly.sano@stambroselatham.com. Thank you.
  
  Student 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Country of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Ethnicity REQUIRED Please fill out this field.
  
  Race REQUIRED American Indian or Alaska Native Asian Black or African American Native Hawaiian/Other Pacific Islander White Please fill out this field.
  
  Home Street, Apt/Suite REQUIRED Please fill out this field.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  The student resides with: REQUIRED Please fill out this field.
  
  District of Residence REQUIRED Please fill out this field. Please enter valid data.
  
  Mailing Address (if different from Home)
  
  Enrolling Grade REQUIRED Please fill out this field.
  
  Enrolling Pre-Kindergarten Program (if applicable)
  
  Does the student have an Individualized Education Plan (IEP)? REQUIRED Yes No Please fill out this field.
  
  Home Parish (if applicable)
  
  Has the student been Baptized (not a requirement to enroll)? REQUIRED Yes No No, but I would like more information. Please fill out this field.
  
  If yes, please indicate the Baptismal Details:
  
  Has the student received his/her First Reconciliation (not a requirement to enroll)? Yes No No, but I would like more information.
  
  If yes, please indicate the First Reconciliation Details:
  
  Has the student received his/her First Holy Communion (not a requirement to enroll)? Yes No No, but I would like more information.
  
  If yes, please indicate the First Holy Communion Details:
  
  Primary Care Physician (PCP) Name REQUIRED Please fill out this field. Please enter valid data.
  
  PCP Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Dentist Name Please enter valid data.
  
  Dentist Phone Number Please enter a phone number.
  
  The student has allergies: REQUIRED Yes No Please fill out this field.
  
  Please list student's allergies:
  
  Please provide a copy of your child's birth certificate, immunization record, and Baptismal certificate (if applicable). Copies can be brought in to the school office, mailed to the school, or emailed to kelly.sano@stambroselatham.com. Thank you.
  
  Student 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Country of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Ethnicity REQUIRED Please fill out this field.
  
  Race REQUIRED American Indian or Alaska Native Asian Black or African American Native Hawaiian/Other Pacific Islander White Please fill out this field.
  
  Home Street, Apt/Suite REQUIRED Please fill out this field.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  The student resides with: REQUIRED Please fill out this field.
  
  District of Residence REQUIRED Please fill out this field. Please enter valid data.
  
  Mailing Address (if different from Home)
  
  Enrolling Grade REQUIRED Please fill out this field.
  
  Enrolling Pre-Kindergarten Program (if applicable)
  
  Does the student have an Individualized Education Plan (IEP)? REQUIRED Yes No Please fill out this field.
  
  Home Parish (if applicable)
  
  Has the student been Baptized (not a requirement to enroll)? REQUIRED Yes No No, but I would like more information. Please fill out this field.
  
  If yes, please indicate the Baptismal Details:
  
  Has the student received his/her First Reconciliation (not a requirement to enroll)? Yes No No, but I would like more information.
  
  If yes, please indicate the First Reconciliation Details:
  
  Has the student received his/her First Holy Communion (not a requirement to enroll)? Yes No No, but I would like more information.
  
  If yes, please indicate the First Holy Communion Details:
  
  Primary Care Physician (PCP) Name REQUIRED Please fill out this field. Please enter valid data.
  
  PCP Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Dentist Name Please enter valid data.
  
  Dentist Phone Number Please enter a phone number.
  
  The student has allergies: REQUIRED Yes No Please fill out this field.
  
  Please list student's allergies:
  
  Please provide a copy of your child's birth certificate, immunization record, and Baptismal certificate (if applicable). Copies can be brought in to the school office, mailed to the school, or emailed to kelly.sano@stambroselatham.com. Thank you.
  
  Student 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Country of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Ethnicity REQUIRED Please fill out this field.
  
  Race REQUIRED American Indian or Alaska Native Asian Black or African American Native Hawaiian/Other Pacific Islander White Please fill out this field.
  
  Home Street, Apt/Suite REQUIRED Please fill out this field.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  The student resides with: REQUIRED Please fill out this field.
  
  District of Residence REQUIRED Please fill out this field. Please enter valid data.
  
  Mailing Address (if different from Home)
  
  Enrolling Grade REQUIRED Please fill out this field.
  
  Enrolling Pre-Kindergarten Program (if applicable)
  
  Does the student have an Individualized Education Plan (IEP)? REQUIRED Yes No Please fill out this field.
  
  Home Parish (if applicable)
  
  Has the student been Baptized (not a requirement to enroll)? REQUIRED Yes No No, but I would like more information. Please fill out this field.
  
  If yes, please indicate the Baptismal Details:
  
  Has the student received his/her First Reconciliation (not a requirement to enroll)? Yes No No, but I would like more information.
  
  If yes, please indicate the First Reconciliation Details:
  
  Has the student received his/her First Holy Communion (not a requirement to enroll)? Yes No No, but I would like more information.
  
  If yes, please indicate the First Holy Communion Details:
  
  Primary Care Physician (PCP) Name REQUIRED Please fill out this field. Please enter valid data.
  
  PCP Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Dentist Name Please enter valid data.
  
  Dentist Phone Number Please enter a phone number.
  
  The student has allergies: REQUIRED Yes No Please fill out this field.
  
  Please list student's allergies:
  
  Please provide a copy of your child's birth certificate, immunization record, and Baptismal certificate (if applicable). Copies can be brought in to the school office, mailed to the school, or emailed to kelly.sano@stambroselatham.com. Thank you.
- Emergency Contacts (other than parent/guardian #1 and #2) REQUIRED Please fill out this field.
  
  Emergency Contacts 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(s) REQUIRED Please fill out this field.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Phone Number Type: REQUIRED Please fill out this field.
  
  Emergency Contacts 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(s) REQUIRED Please fill out this field.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Phone Number Type: REQUIRED Please fill out this field.
  
  Emergency Contacts 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(s) REQUIRED Please fill out this field.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Phone Number Type: REQUIRED Please fill out this field.
  
  Emergency Contacts 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(s) REQUIRED Please fill out this field.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Phone Number Type: REQUIRED Please fill out this field.
- Tuition/Financial Aid
  
  Tuition Rates for 2021-2022
  Pre-Kindergarten
  (3 & 4 yr. old)
  5 day $7,500
  3 day $5,500
  
  Kindergarten
  $6,000
  
  Grades 1-6
  $5,500
  
  Name of the person completing this application and agreeing to the following questions related to tuition: REQUIRED Please fill out this field. Please enter valid data.
  
  I, the above named person, am interested in applying for financial aid/scholarships. I understand that I will need to complete additional applications by April 1st, and that I am responsible for full tuition if no aid is granted. REQUIRED Yes, I am applying and I understand. No, I am not applying for financial assistance. 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). REQUIRED Payment will be made in full no later than August 1, 2021 through FACTS. Ten payments to be made through FACTS beginning August 2021. 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, the above named person, am responsible for all payments of all tuition and any after school charges. This agreement is made between Saint Ambrose School and me, the parent/guardian or another party responsible for the payment of all tuition charges.
  I Agree Please select this field.
- Registration Fee
  
  I, above the named person, agree to pay the Non-refundable Registration Fee, which is needed to complete the enrollment process. 250.0 – Individual 500.0 – Family (Registering 2 or more students)
  
  Registration fees are NON-REFUNDABLE, and must be paid in order to complete the enrollment process. The fee can be paid at the end of this form online using a credit card. If you indicate "Pay Later" please send a check (payable to St. Ambrose) to:
  St. Ambrose School
  c/o Mrs. Kelly Sano
  347 Old Loudon Road
  Latham, NY 12110
Total:

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Pay Now

Pay Later

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