Student Info
Grade Applying For *
If PreK 3, please choose an option
If PreK 4, please choose an option
Student Last Name *
Your answer
Student First Name *
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Student Middle Name
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DOB *
MM
/
DD
/
YYYY
Place of Birth
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Address *
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City *
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State *
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Zip *
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Public School District in which the student resides: *
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Bus Transportation *
Gender *
Ethnic Background (optional)
Race (optional)
This is used for NYS reportable data
Religion
Your answer
Parish
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If the Student is Catholic, please provide the Baptism date and the church.
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Student Lives With *
Required
The school assumes that both parents have full parental custody. If this is not the case, it is the responsibility of the parents to provide the school with that portion of the divorce decree or separation agreement that articulates parental and residential custody. Should any changes occur during the year, please inform the school.
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