SECTION A: STUDENT INFORMATION
* required fields
Date of Application *
Date of Application
Name *
Name
Phone *
Phone
Address *
Address
Gender *
SECTION B: PARENT/GUARDIAN INFORMATION
Part I *
Name *
Name
Address *
Address
Phone *
Phone
Cell Phone *
Cell Phone
Work Phone *
Work Phone
Work Address *
Work Address
Part II *
Name *
Name
Address *
Address
Phone *
Phone
Cell Phone *
Cell Phone
Work Phone *
Work Phone
Work Address *
Work Address
PART III: Confidential Information
Confidential Information (select what applies to student) *
If custody is not joint, please choose custodial parent below *
SECTION C: SIBLING INFORMATION
SECTION D: RELIGIOUS RECORD
Date
Date
Date
Date
Date
Date
SECTION E: SCHOOL RECORD
Dates Attended
From *
From
To *
To
School Address *
School Address
Have you ever been asked to attend a PPT meeting? *
Does your child have a 504 accommodation? *
NOTE: After completing this online form, please submit a copy of your child's Health Assessment, Proof of Immunization, and Baptismal Certificate to the Admissions office at the school.
SIGNATURE REQUIRED *
NOTE: this application does not guarantee acceptance.