St. Mary Interparochial School Student Record Form 2019-2020
Email address *
Family Last Name *
Your answer
Student 1 Grade for 2019-2020 *
Required
Student 1 First Name *
Your answer
Student 1 Middle Name *
Your answer
Student 1 Gender *
Student 1 Date of Birth *
MM
/
DD
/
YYYY
Student 1 Age *
Student 2 Grade for 2019-2020
Student 2 First Name
Your answer
Student 2 Middle Name
Your answer
Student 2 Gender
Student 2 Date of Birth
MM
/
DD
/
YYYY
Student 2 Age
Student 3 Grade for 2019-2020
Student 3 First Name
Your answer
Student 3 Middle Name
Your answer
Student 3 Gender
Student 3 Date of Birth
MM
/
DD
/
YYYY
Student 3 Age
Student 4 Grade for 2019-2020
Student 4 First Name
Your answer
Student 4 Middle Name
Your answer
Student 4 Gender
Student 4 Date of Birth
MM
/
DD
/
YYYY
Student 4 Age
Religion *
Your answer
Parish (if none, please write N/A) *
Your answer
Commitment Fee Per Family - Kindergarten: $250, Grades 1-8: $250 *
Transportation FOR GRADES 1-8 ONLY *
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