SSRM Re-Commitment & Registration Form
It's time to plan for the 2021-2022 school year, and in order to do so we need to know two pieces of information:

1. Whether your child(ren) will be returning to St. Rose St. Mary's School, and
2. Whether your child(ren) has a sibling that would like to attend St. Rose St. Mary's school for the 2021-2022 school year.

Please answer the following questions and submit this form by Friday, March 19, 2021.

After submitting the form, please send in your 2021-2022 Non-Refundable Registration Check to the School Office. Our registration fee is $50 per student and all checks should be made out to St. Rose St. Mary's School.
If we do not receive a check, your registration fee will be applied to your FACTs Account for 2021-2022.
*If you are a School Choice Family your fee is covered by your voucher.*

In August all returning families will receive an email with information on how to review and update PowerSchool information for the 2021-2022 school year.

**Families with students entering 4K, 5K, or 1st Grade don't forget to consider the School Choice Program!**
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If you have any questions or concerns regarding these forms, or if your family is unsure of your plans for next year, please contact Mrs. Falk, confidentially, at jfalk@ssrmparishes.org or call (715) 201-9913.
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Email *
Family Name or Parent/Guardian Name:  (ex. Falk Family) *
My child(ren) will be returning to St. Rose St. Mary's School for 2021-2022. *
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My child(ren) has a NEW sibling that would like to attend St. Rose St. Mary's school for the 2021-2022 school year.  *Please list name and age below.*
I have a family I would like to refer to St. Rose St. Mary's School! Please reach out to:
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