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1st and 2nd Grades
3rd and 4th grades
5th and 6th Grades
States and Capital Games
7th & 8th Grades Ms. Novotny
Physical Education/Health-Mrs. Hennen
Online Scrip Registration
After School Program
Sponsor Our School
St. Edward Church
Religious Ed (CCD)
Online Scrip Registration Form
**Before filling out this form, Please make sure you have read and understood the Policies of the Scrip Program
Indicates required field
As a part of the Scrip Program I agree to volunteer with the distribution of the certificates when asked. examples Special events, Concerts, Saturday Evenings or Sunday Mornings, in order to receive my earned tuition credit.
If I cannot make it on my assigned date, I will find a replacement.
***If I do not have any children/future children in St Edward, I am not required to volunteer, but may do so if I choose. **
No Children Attending School
Complete this section only if your child or someone else is permitted to bring home/pickup your SCRIP certificates.
Your Child/pick up person will receive
the envelope of certificates ordered.
Certificates will not be given to or sent home with your child/or person listed below unless we have this signed
I authorize St Edwards School to release my SCRIP certificates to my child listed below.
I understand that the certificates are just like cash and
I will not hold St Edwards School/Scrip program responsible for any lost or misplaced certificates.
Name of Pick Up Person(s)
Please enter the name of the person who has your permission to pick up your scrip.
I agree to the Messenger Disclaimer & have entered a Pick Up Person(s)
I will pick up my scrip cards
Complete this part only if your child is not yet enrolled at St Edwards:
Future Family Projected Enrollment Date:
Enter the projected Month & School Year of enrollment.
Future Child's Name
Non-School Families Only
Non-School Family Designated Accounts
A Family-Current or Future
School General Fund
St Edward Church
Please choose an account that you would like your scrip money designated to. If you choose to give it to a family please make sure enter their name in the box. Thank You
Designated Family Name(s)
If you are donating your scrip earnings to a family(s) please fill in the name(s) here.
Fill out if you are choosing more than 1 account
If you choose more than 1 account please tell us how you want it split up. The total must equal 100%
I/we have read, understood and will abide by the policies of the St Edwards School Scrip Program (Please read the Scrip Policies
Catholic Cash Policy Agreement
No-I have Questions please contact me
By answering Yes to this question and submitting your form. You are agreeing to all of the Policies of the St Edward's Catholic Cash program.
By answering Yes to this question and submitting your form, You are agreeing to all of the Policies of the St Edward's SCRIP program.
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