PRE-K 3’s ENROLLMENT OPTIONS (please indicate your preference with a check mark). I am aware that there are approximately eight 12:15 dismissals noted on the yearly calendar that I will need to make alternative care arrangements for my child.
PRE-K 4’s ENROLLMENT OPTIONS (please indicate your preference with a check mark). I am aware that there are approximately eight 12:15 dismissals noted on the yearly calendar that I will need to make alternative care arrangements for my child.
Child Name (last, middle, first) *
Your answer
Child's Preferred Name (i.e. Charlie instead of Charles)
Your answer
Child's Home Address, City, Zip *
Your answer
Gender *
Choose
Male
Female
Prefer not to say
Date of Birth *
MM
/
DD
/
YYYY
Place of birth *
Your answer
Father / Guardian Name (Last, Middle, First) *
Your answer
Occupation *
Your answer
Place of Birth *
Your answer
Business Name & Address *
Your answer
Work Phone *
Your answer
Cell Phone *
Your answer
Email Address *
Your answer
Mother / Guardian Name (Last, Middle, First) *
Your answer
Occupation *
Your answer
Place of Birth *
Your answer
Business Name & Address *
Your answer
Work Phone *
Your answer
Cell Phone *
Your answer
Email Address *
Your answer
Child lives with *
Choose
Both Parents
Mother
Father
If divorced or separated, who has custody? Please provide documentation. *
Choose
Both Parents
Mother
Father
Your Pre-K 3’s child must also be toilet trained in order to attend Pre-K 3’s. Is your child toilet trained? *
Choose
Yes
No
Please list names and ages of siblings.
Your answer
If Catholic, please list your Parish (name, location).
Your answer
Applicant’s Roman Catholic Baptism Date
MM
/
DD
/
YYYY
Baptism Church, City, State
Your answer
If accepted to the Pre-K, do you plan to send your child to Saints Peter and Paul School? *
Name of preschool / daycare my child is currently attending.
Your answer
Director / teacher name
Your answer
Director / teacher contact information (phone / email)
Your answer
May we contact the director regarding your child?
Clear selection
Please let us know if your child has any special health conditions
Your answer
Physician’s Name
Your answer
Physician’s Contact Information
Your answer
*Thank you for your application! Please note: This is an application and not a registration form. This application does not entail any obligation for registration on the part of the school.