ATHLETIC PARTICIPATION STATEMENT

Regardless of whether or not your son is thinking of participating in a sport at

Christian Brothers Academy, please complete the following.

By signing below, I confirm that my son has NOT participated on a high school

(Grades 9-12) athletic team while he was in the 6th, 7th, or 8th grades.

*Interpretation: By signing this, you are stating that your son has not competed on an actual

high school team. (ex. Christian Brother Academy or Colts Neck High School) before he was in

high school. In some areas of the country, they allow middle school students to compete on

the high school team. This will affect your son’s eligibility in New Jersey.

**Note: this does NOT include travel teams, club teams, academy programs, camps or clinics.

This ONLY applies if your son represented the ACTUAL HIGH SCHOOL TEAM.

STUDENT’S NAME (please print) ___________________________

STUDENT’S DATE OF BIRTH ___________________________

STUDENT’S PLACE OF BIRTH ___________________________

PARENT’S NAME (please print) ___________________________

PARENT’S SIGNATURE ___________________________

If your son HAS competed on an actual high school team while in middle school,

please email us at athletics@cbalincroftnj.org and give us his name, sport and the

high school team he competed on.

January 2018

CHRISTIAN BROTHERS ACADEMY

TUITION AGREEMENT

1. As the Parent(s)/Guardian(s) of _________________________________________________________________________

Address ____________________________________________________________________________________________

Town/City/Zip _ Home Phone _

E-mail __________________________________________ Cell Phone _

enrolled at Christian Brothers Academy, I (we) expressly represent that we have the financial ability to enter into this tuition

agreement with the Board of Trustees of CBA.

2. I (we) agree to pay the yearly tuition to CBA for regular educational services through FACTS Management Co. Regular

educational services are defined as those that do not require Child Study Team (CST) evaluation, classification and

programming, special classroom testing, as well as instruction by a special education teacher. CBA is unable to offer

Special Education services or programs because of the open ended and possible extensive involvement of staff and

resources this could require. By signing this agreement, I (we) am (are) stating that our son is not a classified student

in any school district. Furthermore, I (we) agree that should CST referral be deemed as necessary, I (we) may have to

withdraw our son no later than the end of the marking period in which the determination is made.

3. Tuition payments must be made using FACTS Management Co. and the Tuition Payment Plan that is presently being

offered. It is agreed that I (we) will adhere to the selected tuition payment schedule. It is also understood that services

(report cards, student records, senior transcripts, overseas trips, etc.) may be withheld until the tuition account is current.

Tuition payments are automatically drawn against your financial institution/credit card on the date(s) designated by you

per the payment plan you choose.

4. It is agreed that registration for the next school year will be contingent upon all tuition for the preceding school year being

paid in full.

5. In split parental/guardian arrangements (e.g., divorce), both parties are required to provide a signed Tuition

Agreement and set up two distinctive tuition accounts with FACTS Management Co. If a split

arrangement is to be enacted, please indicate by checking here __________ .

6. It is agreed that I (we) may withdraw our son at any time prior to the commencement of the following school year.

However, it is also agreed withdrawal would pose a significant setback to CBA given the school's stringent efforts

to accurately budget and prepare for the education of its students on an annual basis. Therefore, it is agreed and

understood that in the event that I (we) withdraw our son prior to the commencement of the following school year, the

tuit ion deposit in the amount of $1,000.00 will be 100% refundable up to 2/15 of that year (or the next Business Day if

2/15 falls on a holiday or weekend), and thereafter, no refund will be given. I (we) further agree that any amount of the

tuition deposit forfeited in accordance with the terms set forth above shall be liquidated and agreed damages.

7. It is agreed that I (we) may withdraw our son at any time during the school year in which he is attending CBA. At the time

of withdrawal, the tuition bill will be paid in accordance with the "Tuition Refund Policy" as outlined in the current CBA

Handbook/Calendar before the appropriate student records will be forwarded to the school chosen.

8. It is agreed that the above conditions will be met for the entire time my (our) son remains a student at Christian Brothers

Academy.

Parent/Guardian Signature Parent/Guardian Signature

Print Name from Above Print Name from Above

Date __________ ___

_________________________________________

FACTS Management Agreement #

FRESHMEN MATHEMATICS COURSE FOR 2018-19

1. Approximately 70% of incoming freshmen will take Algebra I for their first year of high

school mathematics.

2. Students who are taking a full year of high school Algebra in 8th grade may register to sit for

the Algebra I Exemption Exam. Material covered by the aforementioned exam can be found

in any standard Algebra I textbook. As further guidance, below is a general listing of topics

tested by the Algebra I Exemption Exam.

a. Students who demonstrate their mastery of Algebra I by successfully completing the

Algebra I Exemption Exam will be placed in Geometry for their freshman year.

b. Students who place into Geometry Honors as a result of their performance on the

November entrance exam and passing the Algebra I Exemption Exam will have the

opportunity to take the six week Summer Honors Geometry course offered at CBA.

Successful candidates will be contacted with information regarding the aforementioned

course.

c. Students who successfully complete the Algebra I Exemption Exam and have taken a full

year of Geometry in 8th grade may register to sit for the Geometry Exemption Exam at a

later date.

i. Students who demonstrate their mastery of Geometry by successfully completing the

Geometry Exemption Exam will be placed in Algebra II/Trigonometry for their

freshmen year.

ii. Students who successfully complete the Algebra I as well as the Geometry Exemption

Examinations and have taken a full year of a math course higher than Geometry will

have the opportunity to sit for other exemption exams.

Algebra I Exemption Exam Registration

Student Name (please print): ____________________________________________

Please check the appropriate box:

I will NOT sit for the Algebra I Exemption Examination to be held on Thursday, May 10,

2018 from 3:30 – 4:30pm.

I am currently taking or have taken a full year of Algebra I and WILL sit for the Algebra I

Exemption Examination to be held on Thursday, May 10, 2018 from 3:30 – 4:30pm.

I am currently taking or have taken a full year of Geometry and if I successfully complete the

Algebra I Exemption Exam WILL sit for the Geometry Exemption Examination to be held

on a date yet to be determined.

TOPICS TO BE TESTED ON THE ALGEBRA I EXEMPTION EXAMINATION

1. Fundamental properties and axioms of the number system

2. Addition, subtraction, multiplication and division of positive and negative numbers

3. Order of operations

4. Use of variables and evaluating expressions with variables

5. Solving linear equations and inequalities

6. Solving absolute value equations

7. Meaning, use and laws of operations for exponents

8. Addition, subtraction, multiplication and division of monomials and polynomials

9. Factoring polynomials in various forms

10. Solving quadratic equations by factoring

11. Addition, subtraction, multiplication, division and simplification of algebraic fractions

12. Solution of equations containing fractions

13. Solution of linear systems of equations in two variables

14. Generating the equation of a line through two points, parallel or perpendicular to a given

line

15. Simplifying expressions with square roots

MEDIA CONSENT AND RELEASE FORM Class of 2022

Various photographs or videos are taken of our students for use in Pegasus: The Yearbook of

Christian Brothers Academy and The Academy Torch throughout the school year. We may

utilize some of these images for promotional materials for the school. Additionally, students

may be interviewed and quoted for various articles or publications. We ask that you indicate

below whether or not you give CBA the authorization to allow us to include your son’s

photograph and/or quote in CBA brochures, pamphlets, on the website and in other CBA

related materials which we may publish or distribute from time to time. Please sign the form

when completed.

I, the parent/guardian of ________________________________________

GRANT______________ DO NOT GRANT___________ PLEASE CHECK ONE

to Christian Brothers Academy (“the School”) the right to reproduce, use, exhibit, display,

broadcast, distribute and/or create derivative works of School-related photographs or video-

recorded images of my son for use in connection with the activities of the School for promoting,

publicizing or explaining the School or its’ activities. This statement also covers my permission

for the School to use any quote credited to my son to use for the aforementioned purposes.

This grant includes the right to publish such images and/or quotes in all internal School

publications and the alumni magazine, and PR/Promotional materials used for advertising or

public relations on behalf of the School. These images/quotes may appear in any of the wide

variety of formats and media available to the School.

_____________________________________________

SIGNATURE OF PARENT OR GUARDIAN

_______________________________________________

PRINTED NAME OF PARENT OR GUARDIAN

DATE: JANUARY 2018

INDIVIDUAL PUPIL REQUEST FOR LOAN OF TEXTBOOKS

2018– 2019 School Year

Date: January 2018

Public School District: Middletown

Address: Tindall Road

Middletown, N.J.

Nonpublic School: Christian Brothers Academy

Address: 850 Newman Springs Road

Lincroft, N.J. 07738

Name of Pupil: (please print) ____________________

Grade: _________9_________

Name of Parent: (please print) ____________________

Under the provisions of N.J.S.A. 18A: 58-37.1 et seq., I hereby request the Middletown (Public School

District) to loan textbooks to Christian Brothers Academy (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 students pursuant to

law and regulations.

Signature of Parent/Guardian: _________________________Date: January 2018

Setting up a FACTS Payment Plan for CBA

In order to enroll your son in Christian Brothers Academy, a FACTS account must

be established and the $1,000 tuition Deposit must be paid prior to Enrollment day.

NOTE for those with a current CBA FACTS account: If you already have an

account for an upper-class CBA student, please log on to your current account.

Click “Set up Payment Plan for the New Student Tuition Deposit 2018-19 Term”

and make your payment. You MUST use the same banking, payment plan, and

payment date that is currently on file with FACTS. Once you have added the new

student to your existing CBA account, you may skip to the item below marked

“Review” and follow from there.

To create a New Account, follow the steps below.

1. Go to factsmgt.com and click on the “Log In” tab in the top right.

2. On the next page, under “New Account” click the box “Create user name and

password”. From this point, you will be creating a new account, simply follow all

prompts.

o Create a user name, password, and select security questions.

o Choose the appropriate school year and click “Continue”.

o “Contact Information”: Review the information and choose a correspondence

method.

o “Students”: Each student included in the payment plan must be added—

important for parents with twins.

o “Plan Options”: Select a payment plan and click “Next. Please note the

information about fees with the various plans.

o “Payment Details”: Enter your financial account information.

o “Payment Schedule”: Select your payment date and review your schedule.

o “Review”: You can select the links to the right to go back and edit the entries.

Check the box to “Agree to the Terms & Conditions” and click “Submit”.

o “Thank You”: Your confirmation page will include your agreement

number, this is a nine digit number beginning with 10-------. This number

must be written on the bottom left hand side of the CBA Tuition

Agreement. This form will be submitted on Enrollment Day.

o Once your account is created, you will have access to the Grant & Aid portal,

via FACTS Management.

You may contact a FACTS representative at (866) 441-4637

OFFICE OF STUDENT TRANSPORTATION

2018-19

MIDDLE DAY YEAR

GENDER MM or F

CITY or TWP ZIP

ZIP

PHONE

9MILES TENTHS

CLOSES 6/2019 8:00 AM TO 2:30 PM

DATE

YOU ARE ELIGIBLE FOR PAYMENT IN LIEU OF TRANSPORTATION

INELIGIBLE (REASON)

DATE SIGNATURE TITLE

NOTE:

3.        IT IS THE OBLIGATION OF THE PUBLIC SCHOOL ADMINISTRATOR TO NOTIFY THE PARENT OR GUARDIAN AS TO THE

DETERMINATION OF EACH APPLICATION BY AUGUST 1ST

.

A DISTRICT BOARD OF EDUCATION SHALL PAY AID IN LIEU OF TRANSPORTATION TO THE PARENT OR GUARDIAN OF AN ELIGIBLE

STUDENT ONLY AFTER RECEIVING A SIGNED “REQUEST FOR PAYMENT OF TRANSPORTATION AID” VOUCHER AS PRESCRIBED BY

THE COMMISSIONER OF EDUCATION.

(MEASURED VIA THE SHORTEST ROUTE

ALONG PUBLIC ROADWAYS OR

WALKWAYS IN MILES AND TENTHS)

o         IF THERE IS A CHANGE IN THE NONPUBLIC SCHOOL OF ATTENDANCE, A NEW APPLICATION SHALL BE

SUBMITTED TO THE PUBLIC SCHOOL DISTRICT OF RESIDENCE.

          COMPLETE THIS APPLICATION AND RETURN IT TO THE PRIVATE SCHOOL ON OR BEFORE MARCH 10TH

PRECEDING

THE SCHOOL YEAR IN WHICH TRANSPORTATION IS BEING REQUESTED.

LATE APPLICATIONS – ANY APPLICATION RECEIVED AFTER MARCH 10TH

WILL BE A LATE APPLICATION AND MUST BE

ACCOMPANIED BY A STATEMENT OF THE REASON FOR LATENESS. ELIGIBLE STUDENTS WILL RECEIVE

TRANSPORTATION OR AID IN LIEU OF TRANSPORTATION BASED ON THE DATE THE APPLICATION IS RECEIVED BY THE

PUBLIC SCHOOL.

2.        IT IS THE OBLIGATION OF THE NONPUBLIC SCHOOL ADMINISTRATOR TO ANNUALLY COLLECT THE APPLICATION AND SUBMIT

IT TO THE PUBLIC SCHOOL FROM WHICH TRANSPORTATION IS BEING REQUESTED PRIOR TO MARCH 15TH

.

INSTRUCTIONS FOR COMPLETING THE APPLICATION FOR PRIVATE SCHOOL TRANSPORTATION (B6T) N.J.A.C. 6A:27-2.5

1. IT IS THE OBLIGATION OF THE PARENT OR GUARDIAN OF PRIVATE SCHOOL STUDENTS TO:

          ANNUALLY OBTAIN THE APPLICATION FOR PRIVATE SCHOOL TRANSPORTATION FROM THE ADMINISTRATIVE

OFFICE OF THE PRIVATE SCHOOL FOR EACH STUDENT FOR WHICH TRANSPORTATION SERVICES ARE BEING

REQUESTED. SUBMIT A SEPARATE APPLICATION FOR EACH STUDENT.

o         IF THERE IS A CHANGE OF HOME ADDRESS, A NEW APPLICATION SHALL BE SUBMITTED TO THE

PUBLIC SCHOOL DISTRICT OF RESIDENCE.

MAILING ADDRESS

850 Newman Springs Road/Lincroft, NJ 07738

YOUR APPLICATION HAS BEEN REVIEWED BY THE RESIDENT DISTRICT BOARD OF EDUCATION. THE FOLLOWING DETERMINATION HAS BEEN MADE:

TRANSPORTATION WILL BE PROVIDED

NEAREST INTERSECTION TO STUDENT'S RESIDENCE

HOME ADDRESS

AREA CODE + NUMBER

STUDENT's NAME

Please submit a separate application for each child to the private school

(B6T) APPLICATION FOR PRIVATE SCHOOL TRANSPORTATIONNEW JERSEY STATE DEPARTMENT OF EDUCATION

SCHOOL YEAR

DATE OF BIRTH

RESIDENT DISTRICT BOARD OF EDUCATION

NAME AND ADDRESS OF LAST SCHOOL OF ATTENDANCE

STUDENT'S GRADE FOR THE COMING YEARSHORTEST ONE-WAY MILEAGE

BETWEEN HOME AND SCHOOL

DATE SCHOOL OPENS

DO NOT WRITE BELOW THIS LINE * FOR PUBLIC SCHOOL USE ONLY

SCHOOL HOURS FROM

FULL NAME OF SCHOOL TO BE ATTENDED Christian Brothers Academy

ADDRESS OF SCHOOL

January 2018

732-747-1959

SIGNATURE

9/2018

LAST FIRST MONTH

DAYTIME PHONEPARENT/GUARDIAN NAME

C:\Users\jp\Downloads\CBAFreshmanClass2022\Transportation Request

Version 3/2014

VERIFICATION FORM

STUDENT INFORMATION

NAME: ____________________________DATE OF BIRTH: ______

HOME ADDRESS: _________________________________________________

HOME PHONE #: __________________CELL PHONE #:___________________

EMAIL: _________________________________________________

PARENT INFORMATION--MOTHER

NAME: ________________________________________________

HOME ADDRESS: ________________________________________________

HOME PHONE #: _________________CELL PHONE #: ___________________

EMAIL: ________________________________________________

PARENT INFORMATION--FATHER

NAME: _________________________________________________

ADDRESS: _________________________________________________

HOME PHONE #: __________________CELL PHONE #: ___________________

EMAIL: _________________________________________________

Student resides with: Father ___ Mother ___ Both ___

EMERGENCY INFORMATION

In the event of an emergency the following person/persons should be contacted if either parent

cannot be reached. (Please provide two contacts, if possible.)

NAME: _____________________ RELATIONSHIP:__________________

HOME PHONE #: _____________________ CELL PHONE #: _________________

NAME: ____________________ RELATIONSHIP: __________________

HOME PHONE #: ____________________ CELL PHONE #: __________________

MOTHER’S SIGNATURE: __________________________________________________

FATHER’S SIGNATURE: __________________________________________________

Is a Second Mailing required? YES _____ NO _____

If “YES”, please indicate the address: ______________________________________

______________________________________

FRESHMAN WORLD LANGUAGE COURSES FOR 2018-19

1. All CBA students are required to begin their World Language study in the ninth grade and complete three

consecutive years of that same language at CBA.

2. All incoming freshmen must complete the request below

Enter your son’s name and the school he currently attends.

Check his 1st World Language preference.

Check his 2nd World Language preference

If your son does not have a preference or he has never studied a language, check the

appropriate entry.

3. Consideration will be given to previous language studies, timely student registration and section availability.

Once classes fill, late entrants may be placed on a waiting list for their first choice.

4. Each incoming freshman, who is continuing with the study of a previously credited language, may take the

placement test for his 1st World Language preference; as indicated below; to determine if he can place into a higher

level of that Language. The placement test at CBA will be administered on Tuesday, May 1 2018 from 3:30 until

4:30. More information will follow as the date gets closer.

STUDENT NAME ________________________________________________

CURRENT SCHOOL _________________________________________________

1. In my current school I studied ______________________ (Enter Language/s).

2. I have never studied a World Language. ____ Check this statement if it is true for your son.

3. My 1st Language preference at CBA is: FRENCH I SPANISH I LATIN I

4. My 2nd Language preference at CBA is: FRENCH I SPANISH I LATIN I

5. CHECK if you do not have a preference NO PREFERENCE

PLEASE CIRCLE Yes or No BELOW

I will be participation in the World Language Placement Test on Tuesday, May 1, 2018 at 3:30

YES NO

GYM UNIFORM ORDER

On the first day of school, your son will receive his gym uniform. The

fee for the uniform ($30) will be withdrawn from your FACTS

Management tuition account in August. Please complete the order

form indicating the size for each article of clothing. As indicated, the

sizes are “ADULT”. Please keep this in mind when choosing.

STUDENT NAME __________________________________________ PLEASE PRINT

CHECK ONE BOX FOR EACH ITEM

ADULT SIZES SMALL MEDIUM LARGE x-LARGE xx-LARGE

GYM SHORTS _______ ________ _______ ________ ________

REVERSIBLE TANK TOP _______ ________ _______ ________ _________

**In the event the size you have chosen is incorrect, you will have up to two weeks to exchange the

item, in the Academy Store, for the correct size.