Children of Peace Catholic School Registration Form for 2022-2023
İlerleme durumunu kaydetmek için Google'da oturum açın Daha fazla bilgi
E-posta *
Submit this application and the school will contact you to complete the registration
Enrollment Date:
GG
/
AA
/
YYYY
Preschool (Specify Age)
Montessori (Specify Age)
Kindergarten
1st - 8th (Specify Grade)
Deaf Division (Specify Grade)
Age as of Sept. 1, 2021
Child's Last, First and Middle Name
Date of Birth and Age
Place of Birth (City/State)
Male/Female
Child's Address
City/Zip Code
Home Phone
Parental Status
Seçimi temizle
Child Resides with
Seçimi temizle
if Other for Child's residence please specify
Mother/Guardian's Name and Cell Phone
Father's/Guardian's Name and Cell Phone
Mother's/Guardian's Email Address
Father's/Guardian's Email Address
Name of Previous School/City, State(if applicable)
Name of Public School Nearest Your Home
Does Your Child Have an IEP or 504 Service Plan
Seçimi temizle
If Your Child has an IEP or 504 Service Plan Specify
Ethnic Background (Please Check One)
Seçimi temizle
Religious Affiliation (Please Check One)
Parish:
Non-Catholic:
Other Language Spoken in home
Mother's/Guardian Information:
Mother's Name
Address (if different from child)
Place of Employment
Occupation
Preferred Contact Number During the Day
Name/Relationship to child:
Contact Number
Name/Relationship to child:
Contact Number
ALLERGIES:
My child is allergic to:
My child has the following special needs:
Additional Information
Name of Sibling(s) at Children of Peace and Grade
How did you hear about Children of Peace School?
If other specify
Yanıtlarınızın birer kopyası, belirttiğiniz e-posta adresine gönderilecek.
Gönder
Formu temizle
Google Formlar üzerinden asla şifre göndermeyin.
reCAPTCHA
GizlilikŞartlar
Bu form Children of Peace School alanında oluşturuldu. Kötüye Kullanımı Bildirme
Google Formlar