Catholic School Enrollment Application

Catholic School Enrollment Application
Please complete this form to apply for student enrollment at our Catholic school.
Student's Full Name
First NameLast Name
Student's Date of Birth
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Grade Applying For
Home Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent/Guardian Full Name
First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
Religious Affiliation
Other Religion
Parish Name (if applicable)
Previous School Attended
Emergency Contact Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Does the student have any allergies or medical conditions? Please specify.
Should be Empty: