ST. MARY’S PARISH SCHOOL - Registration Form 2023-2024

ST. MARY’S PARISH SCHOOL - Registration Form 2023-2024
A. Student Information:
Child's Full Name
Gender

MaleFemale
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grade Entering
Date of Birth

MonthDayYear
Date
Place of birth
Ethnicity

BlackHispanicAsian/Pacific IsleNative AmericanWhiteOther
B. Sacramental Information: If applicable, please attach copies of your child’s Sacramental records in the Catholic Church to include Baptism, Communion, Reconciliation, and Confirmation.
Upload your documents here:

Cancelof
C. Parents/Guardian Information:
Father Name
"Do you have additional parents to add

YesNo
Stepmother Name
Home Phone:
Please enter a valid phone number.
Cell
Please enter a valid phone number.
Email
example@example.com
Place of Employment
Job Title
Business phone
Please enter a valid phone number.
Father’s religion growing up
Is he currently active in church?

YesNo
Which one?
Mother Name
"Do you have additional parents to add

YesNo
Stepfather
Mother’s Home Phone
Please enter a valid phone number.
Cell
Please enter a valid phone number.
Email
example@example.com
Place of Employment
Job Title
Business phone
Please enter a valid phone number.
Mother’s religion growing up
Is she currently active in a church?

YesNo
Which one?
Church child attends
If child does not live with both parents, please indicate:

Parent(s) with legal custodyParent(s) that will assume financial responsibilityParent(s) that will be responsible for conduct, studies, report cards and reporting absences
Step-parents without legal custody are not entitled to any information regarding the child(ren). We must have on file in the office a legal document that entitles the step-parent to the information, signed by a legal parent. If a legal custodial parent is present at a parent teacher conference, it is implied that there is consent to the step-parent being present.
D. Family Information:
Number of siblings
Name1

First NameLast Name
Age
School Attending
Grade
Name2

First NameLast Name
Age
School Attending
Grade
Name3

First NameLast Name
Age
School Attending
Grade
Name4

First NameLast Name
Age
School Attending
Grade
E. For advertising and/or public relations purposes, may we have your permission to use your child’s photo (we never use full names)?
in the school brochures, newsletters, etc.?

YesNo
on the school’s website?

YesNo
on school’s FACEBOOK account?

YesNo
on video photography (like commercials, YouTube, etc.)?

YesNo
Put your child’s picture (with full name and grade) in the school’s yearbook? This is distributed to current families only.

YesNo
May we use copies of your child’s artwork for publication?

YesNo
Any comments or questions you may have?
List any hobbies or skills that you would like to share with the school.
PLEASE INCLUDE A FAMILY PICTURE FOR OUR BULLETIN BOARD SPOTLIGHTING OUR WONDERFUL FAMILY COMMUNITY.
Mother/Guardian’s Signature

Clear
Date

MonthDayYear
Date
Father/Guardian’s Signature

Clear
Date

MonthDayYear
Date
Should be Empty: