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Student Enrollment Application

Applications are for the 2010 - 11 School year only.
A $50 application fee will be due at the time of your first interview.
Once your application is received and processed, you will be called to schedule an interview with you and your child.
Please fill out all items completely, even with multiple applications (such as siblings). Items with an asterisk (*) must be completed.
Applications must be submitted by January 15th, 2010. Kindergarten and First Grade assessments are scheduled for January. All other assessments will be scheduled for February.

Registration information

*Date of Application (Today's date mm/dd/yyyy):
*Grade Applying For:
*Current Grade
* Applied Before:		YesNo

Student Information

* Last Name:
*First Name:
*Middle Name:
Nickname:
*Gender:		MaleFemale
*Address:
*City:
*State:
*Zip code:
*Home Telephone:
*Birth Date:
Birth Place:
*Religion:
*Parish/Church/Place of Worship:

Father's Information

*Last Name:
*First Name:
*Home Address:
*City:
*State:
*Zip:
Home Telephone:
Mobile Telephone:
E-Mail Address:
*Occupation:
*Company:
*Business Address:
*City:
*State:
*Zip:
Business Telephone:
*Religion:
*Parish/Church/Place of Worship:

Mother's Information

*Last Name:
*First Name:
*Home Address:
*City:
*State:
*Zip:
Home Telephone:
E-Mail Address:
Mobile Telephone:
*Occupation:
*Company:
*Business Address:
*City:
*State:
*Zip:
Business Telephone:
*Religion:
*Parish/Church/Place of Worship: