HomeJanuary 10, 2024Contract Edit Form 2024-25Edit Your Submitted Contract. What changes are you requesting on your submitted contract?(Required) Edit the spelling of a name Change a Pre-K schedule (i.e., half day to full day) Change my payment plan or insurance option Update a physical address Update a phone number Please select all that apply.Student's Name(Required) First Last Enter the first and last name of the student whose contract requires adjustment.Student's Grade in 2024-25(Required)Please SelectK2K3K4K51st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeName ChangesWhose name requires editing on the contract?(Required)Please SelectStudent's NameParent or Guardian NameThird Party Financial Responsibility NamePlease note, this should only be selected if there was a misspelling on the contract. This form cannot be used to change the legal last name of a student or reassign contract signers. Corrected Name(Required) Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Suffix Pre-K Schedule ChangeDesired Pre-K SchedulePlease Select5 Day Full Day5 Day Half Day3 Day Full Day3 Day Half DayDesired K4 SchedulePlease SelectFull DayHalf DayPayment Plan and InsuranceDesired Payment Plan(Required) Annual Payment Plan: One payment billed on June 1. Payment must be made in full by June 15. 2-Payment Plan: Equal payments billed on June 1 and November 1. 4-Payment Plan: Equal payments billed on June 1, September 1, January 1 and April 1. This plan requires participation in the Tuition Refund Plan. 11-Payment Plan: Equal payments billed over 11 months beginning on June 1 and ending on April 1. This plan includes a $10.00 monthly service fee and requires participation in the Tuition Refund Plan. Optional Tuition Insurance(Required) I selected either the annual payment plan or the 2-payment plan, and I wish to participate in the Tuition Refund Plan. I selected either the annual payment plan or the 2-payment plan, and I do not wish to participate in the Tuition Refund Plan. I understand that no refund or cancellation of the yearly tuition and fees will be made by the School for absence, withdrawal, or dismissal before the end of the school year for any reason and herewith agree to assume full responsibility for the full annual tuition and fees. Required Tuition Insurance(Required) I selected the 11-payment plan, and I am required to participate in the Tuition Refund Plan. I selected the 4-payment plan, and I am required to participate in the Tuition Refund Plan. Update Contact InformationWhose physical address requires editing on the contract?(Required)Please SelectStudent's AddressResponsible Party 1: Parent or Guardian AddressResponsible Party 1: Business AddressResponsible Party 2: Parent or Guardian AddressResponsible Party 2: Business AddressPlease note that St. Luke's may ask you to provide verification of a new address prior to updating our records.Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Whose phone number requires editing on the contract?(Required)Please SelectResponsible Party 1: Parent or Guardian PhoneResponsible Party 1: Business PhoneResponsible Party 2: Parent or Guardian PhoneResponsible Party 2: Business PhonePhone(Required)FinalizeEnter your name and email address below. You will receive a copy of this form. Please retain it for your records.Your Name(Required) First Last Name of the individual submitting this form.Your Email(Required) A copy of this form will be sent to this email address.CAPTCHA Δ