REGISTRATION FORM

School Year 2008 - 2009

Grade in September 2008 ___________

Student’s Full Name ___________________________________________________
Last First Middle Name/Initial

Physical Address ______________________________________________________

Mailing Address ______________________________________________________

Phone No. _______________________ Date of Birth_________________________

Previous School(s) _____________________________________________________

(If not at Saint Margaret Catholic School)

Last School Address _______________________________ Phone No. ___________

Father’s Name _______________________________ Religion __________________

Home Address _______________________________ Home Phone _____________

Employer ___________________________________ Business Phone ___________

E-mail Address _______________________________ Cell Phone _______________

Mother’s Name ______________________________ Religion __________________

Home Address ______________________________ Home Phone _____________

Employer ___________________________________ Business Phone ___________

E-mail Address _______________________________ Cell Phone _______________

Registration Fee and Book Fee to be paid at the time of registration

FOR OFFICIAL USE ONLY

Registration Fee: $ 20.00 Check # _____ Cash _____ Date Paid __________ Received by _______

Book Fee : $100.00 Check # _____ Cash _____ Date Paid __________ Received by _______

Documents Submitted:

_____Birth Certificate _____ Immunization Records

_____Pick-up Authorization _____ Medical Information _____Other