Student Form Registration
Student Registration Form

 

Bishop McHugh Regional Catholic School 
2221 Route 9 North, Cape May Court House, NJ 08210, 609-624-1900
Electronic Student Registration Form    

Please note that there are 8 sections in this form. To complete your registration, you will also need to fill out a Bus Form, and for new students, a Health/Immunization Form, copy of the birth certificate(s) and baptismal certificate (optional).

 

Section 1: Student/Family Information
(Up to 4 students may be registered on this form)
Little Storm Program - Please also register below for class day(s).

Student #1 Name     (First Name, Middle Name, Last Name)

  

Grade Entering:  Birth date: 

Birthplace (City/State): 

Student #2 Name     (First Name, Middle Name, Last Name)

  

Grade Entering:  Birth date: 

Birthplace (City/State): 

Student #3 Name     (First Name, Middle Name, Last Name)

  

Grade Entering:  Birth date: 

Birthplace (City/State): 

Student #4 Name     (First Name, Middle Name, Last Name)

  

Grade Entering:  Birth date: 

Birthplace (City/State): 

 

TOWNSHIP/School District of Residence 

Transferred from:  Name of school  

City and State 

Did any of your children receive special services at their former school? These may include Basic Skills Instruction, Special Education Services, Speech Services, Counseling or other services. If so, please provide detail in the box below.

Family Information

PRIMARY CONTACT INFORMATION   

Mailing Salutation: Dr. Mr. Mrs. Ms.                

Name

Address  CityNJ   Zip    

Phone  H Cell    W

SECONDARY CONTACT INFORMATION

Mailing Salutation: Dr. Mr. Mrs. ​Ms.                

Name 

Address  City ​NJ​  Zip

Phone   H  Cell   W

                             

Family Email Address: 

Parent’s Status:    Married        Single      Separated      Divorced                     

Child/Children live(s) with:     Both Parents            Mother                Father

 

Little Storm Preschool
 *Note that students in PreK4 must attend a minimum of four half-days per week.

Student #1 Name: 

Age of Child as of September 1, 2017     Circle program:  PreK2    PreK3    PreK4      

Indicate choices:  Full Days ​  Half Days 

# of Days    (Check the boxes for the days)   M    T    W    TH    F

Student #2 Name: 

Age of Child as of September 1, 2017     Circle program:  PreK2    PreK3    PreK4      

Indicate choices:  Full Days ​  Half Days 

# of Days    (Check the boxes for the days)   M    T    W    TH    F 

Student #3 Name: 

Age of Child as of September 1, 2017     Circle program:  PreK2    PreK3    PreK4      

Indicate choices:  Full Days ​  Half Days 

# of Days    (Check the boxes for the days)   M    T    W    TH    F 

Student #4 Name: 

Age of Child as of September 1, 2017     Circle program:  PreK2    PreK3    PreK4      

Indicate choices:  Full Days ​  Half Days 

# of Days    (Check the boxes for the days)   M    T    W    TH    F 

 

Parish Information

​PARISH    Address 

City NJ    Zip 

 Our children are being raised in the Catholic Faith.   Our children do not identify as Catholic.

Student #1 Name

Baptism: Date    Church   City, State 
First Penance: Date    Church   City, State 
First Communion: Date    Church   City, State 
Confirmation: Date    Church   City, State 

Student #2 Name 

Baptism: Date    Church   City, State 
First Penance: Date    Church   City, State 
First Communion: Date    Church   City, State 
Confirmation: Date    Church   City, State 

Student #3 Name 

Baptism: Date    Church   City, State 
First Penance: Date    Church   City, State 
First Communion: Date    Church   City, State 
Confirmation: Date    Church   City, State 

Student #4 Name 

Baptism: Date    Church   City, State 
First Penance: Date    Church   City, State 
First Communion: Date    Church   City, State 
Confirmation: Date    Church   City, State 

As parents/guardians, in registering the child(ren) listed on this application to attend Bishop McHugh Regional Catholic School, we make a commitment to meet the financial obligations and accept to be governed by the school policies. By typing in the text box below, we are providing our electronic signature.

Parent Signature (type full name):  X

Date

 

Section 2: Pupil Request for Loan of Textbooks

INDIVIDUAL PUPIL REQUEST FOR LOAN OF TEXTBOOKS

​Public School District: 

Non-Public School Address: 

​Name of Student #1:  Grade: 

​Name of Student #2:  Grade: 

​Name of Student #3:  Grade: 

​Name of Student #4:  Grade: 

Under the provisions of ​N.J.S.A.  18A: 58-37 1 et seq., I hereby request the ​Dennis Township School District​ (Public School District) to loan textbooks to the Bishop McHugh Regional School​ (Nonpublic School) in which my child is enrolled. I certify that my above named child and I are residents of the State of New Jersey. I understand that the board of education of the public school district in which the nonpublic school is located with state funding is responsible for providing the loan of textbooks to nonpublic school pupils pursuant to the law and regulations.

​Signature of the Parent/Guardian: ​ Date: 

 

Section 3: Financial Obligation Agreement

​Financial Obligation Agreement - 2017-2018 School Year

​Please read and sign below:

I understand it is my responsibility to ensure my child's tuition account is current at the close of each quarter (November, February and May). Tuition accounts are registered with FACTS and parents/guardians have full access to their account. Further, one or more of the following restrictions, depending on appropriateness, will be applied until payment is up-to-date:

  • NO access to grades on Cornerstone
  • NO participation in Baccalaureate/commencement ceremonies
  • NO diploma issued until full payment is received
  • NO trips sponsored by the school
  • NO admittance in September

Accounts in arrears beyond sixty (60) days must be made current by the means of cash, certified check or money order. All tuition accounts must be paid in full for eighth grade students by May 7, 2018. In event that you cannot meet your financial obligations, please contact the Financial Office to make a good faith payment.

ALL TUITION ACCOUNTS MUST BE PAID IN FULL ON OR BEFORE MAY 22, 2018 (OR MAY 7, 2018 FOR 8TH GRADE STUDENTS). FOR STUDENTS WHO WITHDRAW DURING THE SCHOOL YEAR, TUITION WILL BE PRORATED AT THE TIME OF WITHDRAWAL.

Parent/Guardian Electronic Signature (Please print full name):

Date: 

 

Section 4: Behavioral Management Guidelines

Preschool – Grade 2 Behavioral Management Guidelines (scroll down for Grades 3-8)

A very important part of the early childhood education experience at Bishop McHugh School is helping children learn how to get along in the world, enjoy being with other children, and follow the direction of an adult other than their parent. A caring and positive approach will be taken regarding behavior management and discipline. The teachers will focus on the positive behaviors of the children and reinforce those behaviors as often as possible. Our goal is to help the children develop self-control and responsibility for their actions. 

  1. Encouraging children to use their words when having a disagreement with another child.
  2. Redirecting behavior when this seems potentially effective. 
  3. Separating a child from the group. 
  4. Counseling children individually about their behaviors. 
  5. Making parents aware of disciplinary concerns in the form of a written update.

Disruptive behavior distracts from the full benefit of the program and will result in consequences. The following behaviors are considered disruptive: 

  • Inflicting physical or emotional harm on other children, adults, or self 
  • Disrespecting people and materials provided in the program 
  • Consistently disobeying the rules of the classroom 
  • Verbally threatening other students and/or staff 

Disruptive behavior will be addressed in a written update. This will document any inappropriate behaviors that directly impact other children, staff members, or the group as a whole. This report will explain the behavior and how the behavior has affected others. It will also explain how the situation was resolved. 

If a child has difficulty managing his/her behavior on a recurring basis, parents will be asked to meet with the child’s teacher and principal. If the child’s behavior continues to be inappropriate, consistently disruptive, and/or dangerous, it may be necessary for the child to be sent home for a time to be determined, or removed from the program altogether.

Grades 3-8 Behavioral Management Guidelines

Consistent with our school philosophy, the discipline guidelines of Bishop McHugh School are based on our commitment to instilling the Christian values of respect and fairness to all, and our desire to provide an environment to maximize learning for each student. Therefore, behavioral management guidelines have been developed for when behavioral choices infringe upon the pursuit of these goals. Minor infractions include, but are not limited to, socializing at inappropriate times during class, being unprepared for class, and/or failure to fully meet uniform standards, which will result in a verbal warning. Continued occurrence will result in parental notification and will be reflected in the conduct grade. Recurring minor infractions result in issuance of a demerit that must be signed by a parent and returned to the teacher. In addition, three written warnings regarding noncompliance of uniform standards within one marking period will result in the issuance of one demerit. 

Detention also may be used as an initial recourse. The teacher may issue a detention for behavioral infractions including, but not limited to, showing disrespect to a teacher, staff member or peer, and/or damaging school property. Parents will be notified both verbally and in writing if their child receives a detention. Receipt of a detention will be reflected in the conduct grade on the report card. It may also prohibit participation in extracurricular activities. Detentions are assigned by the issuing teacher. 

If two detentions are received in a school year, the student is required to participate in a conference with parents, teachers, and administration. In this meeting, a written agreement will be made with recommendations developed and agreed upon in order to prevent a repeat situation. All involved parties sign the agreement. 

Any student receiving three detentions or exhibiting behavior that creates a safety or health hazard to others will be immediately suspended. The applicable Parish Pastor will be notified of any student receiving a suspension. If a suspension is received, the student may not return to school until he/she participates in a conference with parents and administration to discuss the consequences of further disciplinary action up to and including expulsion. 

Non-Negotiable Behaviors
The following behaviors are completely inconsistent with the goals of a caring community. They constitute breaches of discipline that will, depending upon the degree of offense, result in serious consequences up to and including suspension or expulsion: 

  • Any form of academic dishonesty 
  • Fighting 
  • Physical or verbal intimidation 
  • Vandalism or theft 
  • Failure to conform to dress code 
  • Inappropriate or disrespectful language 
  • Bullying 
  • Leaving the classroom without permission
  • Failure to return to class in a timely manner 
  • Receipt of a school bus referral 
  • Flagrant rudeness or insubordination 

The following behaviors will result in immediate expulsion: 

  • Possession of tobacco, alcohol or drugs 
  • Possession of weapons 

Any student whose behavior consistently fails to meet the standards set by the progressive disciplinary plan may be expelled and referred to a school setting that more effectively meets his/her academic, behavioral, and social needs. 

Exceptions to discipline policies may be made on a case-by-case basis at the discretion of the principal. 

I HAVE READ AND/OR HEARD THE ABOVE POLICY READ TO ME. I FULLY UNDERSTAND THE CONTENTS AND WILL ABIDE BY THE POLICY. I UNDERSTAND THE SANCTIONS CONNECTED WITH VIOLATIONS OF THIS POLICY. 

​Name of Student #1:  Grade: 

​Name of Student #2:  Grade: 

​Name of Student #3:  Grade: 

​Name of Student #4:  Grade: 

Parent Name  Date 

 

Section 5: Technology Agreement

GUIDELINES FOR INTERNET & ELECTRONIC COMMUNICATIONS (FOR STUDENTS) 

The Internet has become a global and ubiquitous reality. It offers access to a wealth of knowledge, which can be extremely beneficial to students. The Internet can also be dangerous. Because the Internet offers the opportunity for anonymity, there is the possibility for cyber bullying and other harmful acts and for sexual predators to have access to minors. 

It is important for students to maintain appropriate boundaries with respect to other students and the adults in the school. This is for the protection of both students and adults. The Internet and other electronic communications pose unique challenges in this regard. 

Computer use, including use of non-school equipment and use outside of the school, can have harmful effects on students and the school community. Any person who makes inappropriate use of the Internet, cell phones, or other means of electronic communications that is harmful to the good order and discipline of the school, its religious mission or its educational objectives, is subject to disciplinary action. 

This document establishes guidelines for the appropriate use of the Internet, electronic mail, and telephone for students. 

Acceptable protocol includes the following:

  • If a student must correspond with school personnel by e-mail, only school matters or matters appropriate to be discussed in school should be communicated.
  • Students should remember to write as if others are certain to read what is written. E-mail communication can easily be shared with others for whom the communication was not intended. 

Unacceptable activities include but are not limited to the following:

  • Bullying or harassing another student, parent, teacher, administrator, school employee or other member of the school community. 
  • Posting statements, pictures, or other materials that are false, derogatory, defamatory, degrading, malicious, disrespectful, or threatening to another student, parent, teacher, administrator, school employee or other member of the school community. 
  • Using the school seal (logo) or motto without written permission of the principal.
  • Creating a website, webpage, account, blog or the like designed to look like it was created by or belongs to another student, a teacher, administrator, school employee or other member of the school community without the express written consent of that individual.
  • Creating a website or webpage designed to look like an official school posting. 

Student #1 Signature:  

Student #2 Signature: 

Student #3 Signature: 

Student #4 Signature: 

Parent Signature:  page1image19784

Date: 

 

ACCEPTABLE USE POLICY FOR TECHNOLOGY AVAILABLE AT SCHOOL (STUDENT) 

The Technology available at Bishop McHugh Regional School is for the use of the students and faculty for educational purposes. In order for students to use the technology services of this school, students and their parents must understand and accept the following Acceptable Use Policy. 

Internet access is available to students and teachers in our school. The access is offered to further educational goals by facilitating resource sharing and promoting innovative worldwide learning opportunities for students and staff. Material viewed, created and/or stored on the technology is not guaranteed to be private and may be reviewed by the school and/or network administrators at any time to insure that usage is appropriate, has a legitimate educational purpose and is in conformance with this Policy. 

Internet access means access to computers and people all over the world and makes material available that may not be considered appropriate for students. Any student found searching a site, which is deemed offensive, will receive disciplinary action. Depending on the offense, the consequences may include loss of technology use privilege, disciplinary action up to and including suspension or expulsion, and/or criminal complaint. 

Unacceptable use of the technology includes but is not limited to: 

  • Doing anything with respect to hardware, software, or programming which results in damage to the technology or inconvenience to others.
  • Violating the privacy of any student, employee or any other individual.
  • Revealing home phone numbers, addresses, or other personal information. 
  • Transmitting or receiving profane, obscene, pornographic, or other objectionable materials.
  • Transmitting material threatening to another person, whether or not such threatening action is delivered. Using the technology to bully another individual or group.
  • Copying proprietary information, including software, in violation of applicable law.
  • Plagiarizing, which is taking someone else's words, ideas, or findings and presenting them as your own without properly giving credit to the sources.
  • Using the network for personal reasons unrelated to school work, assignments, or legitimate educational purposes.
  • Using the network for financial gain, a business activity or any illegal activity.
  • Creating, transmitting or introducing computer viruses.
  • Deliberately trying to degrade or disrupt system performance. (Such acts may also be viewed as criminal activity under applicable local, state, or federal law.)
  • Transmitting product advertisement or political lobbying.
  • Violating any local, state or federal rule or regulation.
  • Exploring or transmitting information that that conflicts with Catholic moral values.
  • Granting access to unauthorized persons, either by intentional action or unintentional action (i.e. failure to log off). 

The use of our school's technology, including Internet use, is a privilege, not a right. 

I HAVE READ AND/OR HEARD THE ABOVE ACCEPTABLE USE POLICY READ TO ME. I FULLY UNDERSTAND THE CONTENTS AND WILL ABIDE BY THE POLICY. I UNDERSTAND THE SANCTIONS CONNECTED WITH VIOLATIONS OF THIS POLICY. page2image24224

Student #1 Signature: 

Student #2 Signature: 

Student #3 Signature: 

Student #4 Signature: 

Parent Signature:  

Student Grade: 

Date: 

 

Section 6: Media Release

MEDIA LICENSE, RELEASE AND HOLD HARMLESS AGREEMENT 

I, , who reside at , am the parent/legal guardian of the following students: 

and (CHECK ONE below) 

 I hereby agree: 

(1) to allow my child(ren) to be photographed and/or interviewed for the media and any school or parish publications, including but not limited to, press releases, bulletins, newsletters, brochures, videos, computer images, social media and web pages; 

(2) to waive, release, and forever discharge any and all claims that I may have with respect to the use of the said image(s) by the Diocese of Camden, New Jersey; Bishop McHugh Regional Catholic School, and their respective agents, servants, employees, officers, trustees, administrators, and volunteers.

 I DO NOT agree: 

(1) to allow my child(ren) to be photographed and/or interviewed for the media and any school or parish publications, including but not limited to, press releases, bulletins, newsletters, brochures, videos, computer images, social media and web pages; 

(2) to allow any interview or image of my child(ren) to be published in the media or any school or parish publications, including but not limited to, press releases, bulletins, newsletters, brochures, videos, computer images, social media and web pages. 

IN WITNESS WHERETO the parties have signed this Agreement on the day of , 2017. 

(Signature of Parent/Guardian) 

 

Section 7: Family Directory/Family Business Directory

FAMILY DIRECTORY 

May we include your family and children (including address, email and phone numbers) in our Family Directory?

 Yes     No  (If yes, please fill in the information below.)

Family name:  

Parents/Guardian: 

Address: 

 

Student #1:  Grade: 

Student #2:  Grade: 

Student #3:  Grade: 

Student #4:  Grade: 

Email: 
Phone numbers: 
(Home) 

Parent #1  (Cell)  

Parent #2  (Cell) 

Parish: 

**********************************************************************************************************************

BUSINESS DIRECTORY

Do you have a family business that you would like to include in our Business Directory? 

 Yes     No  (If yes, please scroll down to fill out the information.)

Business Name: 

Type of business: 

Owner: 

Address: 

Phone number: 

Website:  

Email: 

 

Section 8: AfterCare Registration
This section is optional. If you do not wish to register your child for AfterCare, please scroll down to the end to submit this form.

AfterCare for the 2017-18 ​School Year

Student #1 Name: ​   Nickname:    Age: 

​Birth date:    Gender:   

Grade:  Interests: 

Student #2 Name: ​   Nickname:    Age: 

​Birth date:    Gender:   

Grade:  Interests: 

Student #3 Name: ​   Nickname:    Age: 

​Birth date:    Gender:   

Grade:  Interests: 

Student #4 Name: ​   Nickname:    Age: 

​Birth date:    Gender:   

Grade:  Interests: 

 

Family Information:

​Parent/Guardian: ​   Home Phone: 

​Address: 

Parent Information:

​Mother's Work Phone: ​   Father's Work Phone: 

​Cell Phone: ​                     Cell Phone: 

​Medical Insurance Company: ​   Policy Number: 

Departure Procedures:

​List below the person(s) authorized to pick up your child/children from AfterCare. ​A written permission slip, signed by the parent, must be sent into the AfterCare Coordinator if the child is to go home with any other person and/or family member not listed here.

​  ​  

​Approximate time of departure before 5:30 p.m.: 

​Please list the name(s), address and phone number of two people that can be notified in case of emergency. Please note that these individuals will be contacted in the event that the parents cannot be reached.

​1. Name: ​   Phone: ​  

Address: ​   Relationship: 

​2. Name:    Phone:   

Address: ​   Relationship: 

 

​Please initial each of the following to indicate that you have read and understood each item:

​1. ​ My child is not allowed to come and go freely from AfterCare.

​2. ​ A snack and drink must be supplied by the parent for AfterCare.

​3. ​ I will inform the AfterCare Coordinator in writing if any changes or concerns arise relevant to my child.

​4. ​ I will notify the AfterCare Coordinator in writing of any changes in departure plans.

​5. ​ If a medical emergency arises, the AfterCare staff will first attempt to call me. If I cannot be reached, the staff member will call the emergency contact person I have designated or my child's doctor. If the emergency is such that immediate hospital attention is necessary, the staff will see that my child is transported to the hospital. I will be responsible for the expenses.

​6. ​ The phone in the AfterCare room is avaliable from 2:30 to 5:30 p.m. and is to be used ONLY​ for emergencies (late pick-up, etc.). Phone: (609) 624-1900 ext. 6

 

By signing below, you also agree to the following:

​AfterCare is a payment-based program. Please contact the financial office regarding the fees. The program generally operates from the close of the school day until 5:30 p.m. each school day EXCEPT​ the day before a major holiday and on half days. Please also note, a child's entering AfterCare before or after a school activity will be billed the AfterCare fees. Examples of school activities are Sports, Team Mercy, Chess Club, Scouts, School Play, etc.

​The financial office will send you an AfterCare invoice. Children will not be allowed to continue in the program if the payments are not made on a timely basis. Also, an AfterCare calendar will be given to you by the end of each current month. Please return the initialed calendar by the first of the new month.

​Parent's Name ​   Parent Signature  

​Date 

 

​Daily Schedule

​2:30- 2:45 p.m.: Gather students; check in

2:45- 3:15 p.m: Snack and restroom breaks

​3:15- 4:15 pm.: Homework* - study/quiet time; play time for PreK

​4:15- 5:30 p.m.: Free play- including outside play, weather permitting

​*Older students will be given extra time if needed

​When discipline problems and/or misbehavior is exhibited, the AfterCare Coordinator will offer positive guidance techniques. If necessary, time-outs will be used to help the child gain self-control. Recurring problems will be discussed with the parents to obtain possible solutions. Serious, constant occurrences will be directed to the principal for further action, which could result in students being removed from the program.

​Physical contact among the participants is strictly forbidden. Biting, hitting, kicking, and verbal abuse between students or directed toward the staff is cause for automatic withdrawal from the program.

​The phone in the AfterCare room is available from 2:30 to 5:30 p.m. - (609) 624-1900, x6

​Please use this number ONLY for emergencies. (Late pick-up, etc.)

 

If you are ready to submit your student registration form, please click the submit button below. Your registration will be considered complete with a $100 registration fee payable to Bishop McHugh Regional Catholic School, 2221 Route 9 North, Cape May Court House, NJ 08210. For security reasons, please note that once you click submit, the data does not automatically save if it takes more than 3 attempts at the security measure below.

 

 



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