Admission Form

Student Information
Student's Name
First Middle Last
Enrolling In Grade
Date of Birth
MM slash DD slash YYYY
Country of Birth
City of Hospital Where Born
State of Hospital Where Born
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Township
Preferred Email*
Home Phone
County
School district in which child resides
Bus Needed
- Yes
- No
Registered Parish

Educational Experience
Current School
Current Grade
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Enrolling In Grade
School Year Applying For
Hidden
Interested Pre-K3 students must indicate:
- Pre-K3: Five Half-Day Program
- Pre-K3: Five Full-Day Program
Interested Pre-K4 students must indicate:
- Pre-K4: Five Half-Day Program
- Pre-K4: Five Full-Day Program
Children must be age 4 by September 1st of the year they are registered for Pre-K4
Student has IEP/ 504 Plan*
- Yes
- No
If yes, most recent copy must be presented at time of application.
If yes, most recent copy must be presented at time of application.
Primary contact person for Smart Tuition billing

Mother's Information
Mother's Name
First Middle Last
Mother’s Country of Birth
Mother’s Religion
Mother's Address (If Different From Child)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employer Name
Occupation/Title
Mother's Work Phone
Mother's Cell Phone
Mother's Email

Father's Information
Father's Name
First Middle Last
Father’s Country of Birth
Father’s Religion
Father's Address (If Different From Child)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employer Name
Occupation/Title
Father's Work Phone
Father's Cell Phone
Father's Email

Every Catholic school student has a right to be treated as a child of God, with the love and respect that implies, regardless of family circumstances. In like manner, the believing community has the right to an education guided by Catholic teaching and identity, unimpeded by pressures contrary to Church teaching

As parent/guardian of a student in a Catholic school, I understand, affirm, and support the following:
- The primary purpose of a Catholic school education is two-fold: to strengthen the Catholic community in its faith, and to form students in the teachings of Jesus Christ and the Catholic Church.
- Catholic schools are distinctive religious education institutions guided by the teachings of the Catholic Church. They are not simply private schools offering a positive moral code. Rather, they exist to advance the faith mission of the sponsoring Catholic parish(es), Archdiocese, or Catholic religious community.
- While Catholic education places a high value on academic excellence and extracurricular achievement, its fundamental priority is fidelity to Catholic teaching and identity.
- Attending a Catholic school is a privilege, not a right. The school and its administration have the responsibility to ensure that Catholic teaching and moral integrity permeate every facet of the school’s life and activity and that the school is able to function as a community of faith.
- In all questions that involve Catholic teaching, morals, and Church law, the final determination rests with the Archbishop
As a parent/guardian desiring to enroll my child in a Catholic school, I accept this memorandum of understanding. I pledge support for the Catholic identty and mission of this school and by enrolling my child I commit myself to uphold all principles and policies that govern the Catholic School.
Parent/Guardian Print Name 1*
Parent/Guardian Signature 1*
Date 1*
MM slash DD slash YYYY
Parent/Guardian Print Name 2*
Parent/Guardian Signature 2*
Date 2*
MM slash DD slash YYYY

Step 1 of 8

Student Information

Educational Experience

Mother's Information

Father's Information

Family Information

If Applicable

Student's Sacraments