REGISTRATION FORM

For Currently Attending Families

School Year 2008 - 2009

 

Family  Name ________________________________________________________                                            

Physical Address ______________________________________________________

Mailing  Address ______________________________________________________

Phone No. ______________________ E-mail _______________________________

 

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 _______________

 

 

                  Student’s Name                      Date of Birth          Grade in September 2008

____________________________    ________________     ____________________

____________________________    ________________     ____________________

____________________________    ________________     ____________________

____________________________    ________________     ____________________

____________________________    ________________     ____________________

 

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 K-9   : $100.00   Check # _____   Cash _____   Date Paid _________   Received by _______

Preschool          : $ 35.00

 

Documents Submitted:

_____Pick-up Authorization                             _____ Medical Information                           _____Other