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ST. PATRICK SCHOOL

RETURNING STUDENT REGISTRATION FORM

Registration Fees:

PRE-K3: $150 PER CHILD NON-REFUNDABLE REGISTRATION FEE PLUS FIRST 2 WEEKS TUITION.

PRE-K4: $150 PER CHILD NON-REFUNDABLE REGISTRATION FEE PLUS FIRST 2 WEEKS TUITION.

NEW STUDENTS GRADES K-8: $150 PER CHILD NON-REFUNDABLE REGISTRATION FEE

Student Name *

First

Middle

Last

Gender *

Dave of Birth *

Street Address *

City *

State *

Zip Code *

Home Phone *

Publish in School Directory? *

Parish *

School District *

Ethnicity *

Race *

Father’s Name/Guardian *

Father’s /Guardian Address *

Father’s /Guardian Religion *

Father’s /Guardian Country of Birth *

Father’s /Guardian Email *

Father’s /Guardian Cell Phone *

Father’s /Guardian Employer Name *

Father’s /Guardian Work Number *

Mother's Name/Guardian *

Mother's /Guardian Address *

Mother's /Guardian Religion *

Mother's /Guardian Country of Birth *

Mother's /Guardian Email *

Mother's /Guardian Cell Phone *

Mother's /Guardian Employer Name *

Mother's /Guardian Work Number *

Home Situation *

Parental Rights: (Attach copy of Court Order) *

Name & Address person responsible for Tuition if other than Parents:

Student Grade *

Allergies *

Present Grade Child Attends *

Does your child currently have an IEP/504 or has any testing been done? If yes, please provide a copy of the report.:

Date and Place of Baptism *

Date and Place of First Penance *

Date and Place of First Eucharist *

Date and Place of Confirmation *

Checkboxes

A completed 2020-2021 Registration Form
A completed 2020-2021 Registration Fee and Tuition Option Form (FACTS)
A copy of your child’s birth certificate
A copy of your child’s Baptismal certificate
A copy of your child’s up-to-date immunizations

Registration Fee Payment Will Be By *

Parent/Guardian Signature *

Date *

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