Waiting Pool for St. Andrew's Cottage
St. Andrew's Cottage Waiting Pool
(Toddlers 18 months - 4 years old)
$50 non-refundable Waiting Pool Fee
Please add my child to the waiting pool for St. Andrew's Cottage *
By clicking submit at the end of this form I understand that my child will not officially be on the St. Andrew's Cottage Waiting Pool until I submit the $50 non-refundable waiting pool list fee for St. Andrew's Cottage.
Required
Child's First Name *
Your answer
Child's Preferred Name *
Your answer
Child's Middle Name *
Your answer
Child's Last Name *
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Child's Date of Birth *
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Child's Gender *
Required
Child's Race/Ethincity *
Required
Child's Address *
Your answer
City *
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Zip *
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How did you hear about our program? *
Required
Do you have an affiliation with St. Andrew's Church or School? *
Your answer
Parent 1 / Guardian 1 *
Required
Parent 1 / Guardian 1 - First Name *
Your answer
Parent 1 / Guardian 1 - Last Name *
Your answer
Parent 1 / Guardian 1- Home Address *
Required
Parent 1 / Guardian 1 - Cell Phone Number *
Your answer
Parent 1 / Guardian 1 - Email Address *
Your answer
Parent 1 / Guardian 1 - Employer *
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Parent 1 / Guardian 1 - Occupation/Title *
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Parent 1 / Guardian 1 - Business Type *
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Parent 1 / Guardian 1 - Work Address *
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Parent 1 / Guardian 1 - Work City *
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Parent 1 / Guardian 1 - Work State *
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Parent 1 / Guardian 1 - Work Zip *
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Parent 1 / Guardian 1 - College/Universities Attended *
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Parent 1 / Guardian 1 - Degrees *
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Parent 1 / Guardian 1 - Years *
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Parent 1 / Guardian 1 - High School *
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Parent 1 / Guardian 1 - High School Year of Graduation *
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Parent 2 / Guardian 2 *
Required
Parent 2 / Guardian 2 - First Name *
Your answer
Parent 2 / Guardian 2 - Last Name *
Your answer
Parent 2 / Guardian 2 - Home Address *
Required
Parent 2 / Guardian 2 - Cell Phone Number *
Your answer
Parent 2 / Guardian 2 - Email Address *
Your answer
Parent 2 / Guardian 2 - Employer *
Your answer
Parent 2 / Guardian 2 - Occupation/Title *
Your answer
Parent 2 / Guardian 2 - Business Type *
Your answer
Parent 2 / Guardian 2 - Work Address *
Your answer
Parent 2 / Guardian 2 - Work City *
Your answer
Parent 2 / Guardian 2 - Work State *
Your answer
Parent 2 / Guardian 2 - Work Zip *
Your answer
Parent 2 / Guardian 2 - College/Universities Attended *
Your answer
Parent 2 / Guardian 2 - Degrees *
Your answer
Parent 2 / Guardian 2 - Years *
Your answer
Parent 2 / Guardian 2 - High School *
Your answer
Parent 2 / Guardian 2 - High School Year of Graduation *
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Child resides with *
Required
Parents are *
Required
Does child have any siblings? If so, please list name, age and school child attends. *
Your answer
Additional Comments
Your answer
Please submit the following: 1) a picture of your child, and 2) the non-refundable $50 waiting pool fee to St. Andrew's Episcopal School, Admissions, 8012 Oak Street, New Orleans, LA 70118. *
By clicking submit I understand that my child will not officially be on the St. Andrew's Cottage Waiting Pool until I submit the $50 non-refundable waiting pool list fee for St. Andrew's Cottage. Please leave any additional comments.
Your answer
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