2022-2023 Student Enrollment Application

Student's Information

Student's Name(Required)

First Middle Last

Student's Preferred Name

Grade Level Applying For(Required)

Date of Birth(Required)

Gender(Required)

Male

Female

Race(Required)

Church Affilation(Required)

Student's Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Previous School (if applicable)

Previous School's Phone (if applicable)

Previous School's Address (if applicable)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How did you hear about the school?(Required)

Please Specify Other

Special Educational Considerations

Any Special Considerations(Required)

None

IEP

504 Plan

This is for students who have a previous IEP or 504 Plan

Upload a copy of the IEP / 504 Plan

Drop files here or

Max. file size: 25 MB, Max. files: 5.

Has the student been identified as needing accommodations or modifications in class?

Upload a copy of Accommodation or Modification Documentation

Drop files here or

Max. file size: 25 MB, Max. files: 5.

Student's Baptism Record

Student's Date of Baptism

Baptismal Church

Baptismal Church Location

City State / Province / Region Country

Student's First Communion

Date of First Communion

First Communion Church

First Communion Church Location

City State / Province / Region Country

Student's Confirmation

Date of Confirmation

Confirmation Church

Confirmation Church Location

City State / Province / Region Country

Application Fee

application Fee- 45 for first child, 55 for two children, 65 for three or more children

# of Students you are Registering?(Required)

Even though you can only register one student at a time, please select the total number of students you will be registering from your household to ensure you receive your application fee discount.

Total Registration Fee for this Student's Application

Registrant's Name(Required)

First Middle Last

Registant's Email(Required)

This is where the confirmation's will be sent

Credit Card Information(Required)

Cardholder Name

Card Number

Expires

CVV / CVC

Postal Code

Credit Card Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Student's Information

Father's Information

Mother's Information

Parental Status Information

Step Parent Information

Special Educational Considerations

Student's Baptism Record

Student's First Communion

Student's Confirmation

Application Fee