Select the grade your child is in for the 2023-2024 School Year *
Student's date of birth *
MM
/
DD
/
YYYY
Students Primary Home Address *
Your answer
Who does the child primarily live with? *
Parent or Guardian #1 Name *
Your answer
Parent or Guardian #1 email *
Your answer
Parent or Guardian #1 phone number *
Your answer
Parent or Guardian #2 Name
Your answer
Parent or Guardian #2 email
Your answer
Parent or Guardian #2 phone number
Your answer
Emergency Name and Contact (other than Parent(s)or Guardian(s)) *
Your answer
Please list medical conditions and/or learning accommodations.
Your answer
I give permission for photos of my child to be used ONLY on the parish website and parish social media. Please note: photos will be group photos for specific activities (e.g. a Holy Day event or special presentation). *