2020-21 PK Enrollment Application
Please complete this online enrollment application. Once submitted, the office will generate a tuition worksheet to be sent to you via email.

Registration is complete upon receipt of a $100 registration fee which can paid by debit or credit card by calling the school office or by mailing a check made out to St. Vincent de Paul School and sent to 923 18th St. Bedford, IN. All seats are reserved upon receipt of the reigstration fee and on a first come first serve basis.
Last Name of Student *
First Name of Student *
Middle Name of Student *
Date of Birth *
MM
/
DD
/
YYYY
Gender of Student *
Required
Student first language spoken at home *
Required
Religion *
Required
Student resides with *
Required
Student resides in the following school district *
If student resides outside Lawrence County, please list county of residence and public school corporation below.
Race/Ethnicity *
Home Phone # for Student or guardian cell if no home phone *
Last Name of Guardian 1 *
First Name of Guardian 1 *
Guardian 1 relationship to student *
Guardian 1 Street or Co Rd Address *
Guardian 1 City *
Guardian 1 Zip Code *
Guardian 1 Email Address *
Guardian 1 Preferred Phone # including area code *
May we text you at this number? *
Guardian 1 Place of Employment (if no place of employment enter NA) *
Guardian 1 Work Phone # including area code (if no place of employment enter NA) *
Last Name of Guardian 2 (NA if no 2nd guardian)
First Name of Guardian 2
Guardian 2 relationship to student
Clear selection
Guardian 2 Email Address
Guardian 2 Street or Co Rd Address if different than Guardian 1
Guardian 2 City if different than Guardian 1
Guardian 2 Zip Code if different than Guardian 1
Guardian 2 Preferred Phone # including area code
May we text you at this number?
Clear selection
Guardian 2 Place of Employment (if no employment enter NA)
Guardian 2 Work Phone including area code (if no employment enter NA)
Emergency Contact Name if parents cannot be reached *
Emergency Contact Phone Number *
Do you have another child to enroll? *
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