St. Bernard Student Application
Student Name: *
Student applying for grade *
Language spoken at home *
Religion *
Date of birth *
MM
/
DD
/
YYYY
Primary email *
Primary number *
Gender *
Street Address *
City *
Zip *
Last school attended
How did you hear about us? *
Parent/Guardian #1 Name *
Parent/Guardian #1 Name *
Parent/Guardian #1 Phone *
Parent/Guardian #1 Email *
Parent/Guardian #2 Name *
Parent/Guardian #2Phone
Parent/Guardian #2Email
Child lives with *
Why are you interested in joining the St. Bernard Catholic School community? *
Please tell us about your child's interests *
How will you contribute to the St. Bernard School community? *
Is there anything else you can add that will help us evaluate your child's application?
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