Christian Brothers Services

Registration

 

Registration for the 2016-2017 Student Accident Plan Year
Calculate Your Contributions
Pre-K through Grade 8
# of Students
Contribution per Student
Total Contribution
Plan A Classroom Only - No sports
.
x
$3.00
=
$0.00
Plan B Classroom & Limited Sports *
.
x
$7.00
=
$0.00
Plan C Classroom & All Sports
.
x
$12.00
=
$0.00
Plan D Boarding Schools
.
x
$190.00
=
$0.00
* Excludes Football, Hockey and Lacross
Subtotal
$0.00
High School
# of Students
Contribution per Student
Total Contribution
Plan A Classroom Only - No sports
.
x
$4.00
=
$0.00
Plan B Classroom & Limited Sports *
.
x
$11.00
=
$0.00
Plan C Classroom & All Sports
.
x
$23.00
=
$0.00
Plan D Boarding Schools
x
$190.00
=
$0.00
* Excludes Football, Hockey and Lacross
Subtotal
$0.00
Total Contribution Due
$0.00

    To enroll in the Student Accident Plan:
    *Click on the attached enrollment form and print

    * Complete the form

    *Submit with payment to:
      Christian Brothers Student Accident Plan
      ATTN: Enrollment
      1205 Windham Parkway
      Romeoville, IL 60446

    Enrollment Form