St. Patrick Catholic School

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Enrollment Form 2020-2021

St. Patrick School

Enrollment Form for 2020-2021

Please complete the form below. Required fields marked with an asterisk *

STUDENT INFORMATION:

Grade Applying for 2020-2021 School Year*
Answer Required

Address:

State*
Answer Required
Baptized Catholic*
Answer Required
U.S. Citizen*
Answer Required
Ethnicity (for statistical purposes only)*
Answer Required
Student lives with:*
Answer Required

PARENT/GUARDIAN 1

Title:*
Answer Required

PARENT/GUARDIAN 2

Title:*
Answer Required

AUTHORIZED FOR PICKUP:

TUITION INFORMATION:

Preferred Payment Plan*
Answer Required
After Hours (Please indicate if you plan to utilize After Hours Care)*
Answer Required
Mandatory Fundraiser (Please indicate if you plan to opt out and pay the fee of $60.00)*
Answer Required
Please indicate if applying for free/reduced lunch application (available in summer)*
Answer Required
Dyslexia Therapy (Please indicate if you are interested in this service)
Answer Required

I understand that the principal must conduct a family (parent and child) interview to determine acceptance to St. Patrick Catholic School. 

I understand that if my child is accepted to St. Patrick Catholic School that enrollment is not complete until the receipt of the non-refundable/non-transferable registration fee, copy of birth certificate, immunization form No. 121, and Baptismal certificate (for Catholic parishioners to receive Catholic tuition rate).

I also understand that if my child is accepted, the first 90 days of his/her attendance at St. Patrick Catholic School is a probationary period.

In accordance with the Civil Rights Act of 1964, there will be no discrimination on the grounds of race, creed, color, national origin or handicapping condition in regards to student enrollment or staff employment. 

Confirmation Email