Kindergarten Pre-Registration 2021/2022
Mother's First Name *
Mother's Last Name *
Mother's Phone *
Mother's Email *
Mother's Religion *
Father's First Name *
Father's Last Name *
Father's Phone *
Father's Email *
Father's Religion *
Married *
Who is legally responsible for child's education? *
Child's First Name *
Child's Last Name *
Child's Date of Birth *
Child's Street Address *
Child's City *
Child's State *
Child's Zip *
Church of Child's Baptism *
Date of Child's Baptism *
Where does the family worship on the weekend? *
If you are Catholic and not a member of Assumption, is it your intention to join the Parish? *
I understand a non-refundable registration fee of $160.00, a photocopy of my child's birth certificate and a photocopy of my child's baptismal certificate are required for registration and will be sent to the school office. *
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