Saint Christopher School 2017 - 2018 Application Form for new families

New students will be scheduled to meet with a teacher for a readiness/placement test prior to the completion of the application process.

The following information must be submitted to the school office in order to complete the application process:
- A non-refundable $50.00 (per student) fee
- Student's records from previous school
- Immunization records
- Baptismal certificate (if student has been baptized at a Catholic church other than St. Christopher)
- Birth Certificate

Name of parent completing this registration form:
Your answer
Are you... ?
Address: (Example: 5335 W. 16th Street)
Your answer
City:
Your answer
State:
Your answer
Zip Code:
Your answer
3179182246Home (land line) phone number: (Example: 317-555-5555)
Your answer
Cell phone number: (Example: 317-555-5555)
Your answer
Employer:
Your answer
Occupation:
Your answer
Email address:
Your answer
Are you:
Parish Information:
If you are a parish member, what is your envelope number?
Your answer
Name of Parent 2:
Your answer
Parent 2:
Address of Parent 2 (only if address is different from first parent):
Your answer
City of Parent 2 (only if address is different from first parent):
Your answer
State of Parent 2 (only if address is different from first parent):
Your answer
Zip Code of Parent 2 (only if address is different from first parent):
Your answer
Home (land line) phone number of Parent 2: (Example: 317-555-5555)
Your answer
Cell phone number of Parent 2: (Example: 317-555-5555)
Your answer
Employer (Parent 2):
Your answer
Occupation (Parent 2):
Your answer
Email Address (Parent 2)
Your answer
Is Parent 2:
Student's first name: (Child 1)
Your answer
Student's middle name: (Child 1)
Your answer
Student's last name: (Child 1)
Your answer
Student is entering grade:
This child is:
Birthdate:
MM
/
DD
/
YYYY
Birthplace: (City, State - - OR - - Name of country for children born outside of the United States)
Your answer
Has this child been baptized Catholic?
Name of church where child was baptized: (skip this question if child has not been baptized at a Catholic church)
Your answer
Date of this child's baptism: (skip this if child has not been baptized at a Catholic church)
MM
/
DD
/
YYYY
Student lives with:
Send school correspondence to:
Ethnicity:
Race:
Does this child have any known allergies?
If yes (allergies), please describe:
Your answer
If registering only one child, please skip to the bottom of this form for the last three questions.
Your answer
Student's first name: (Child 2)
Your answer
Student's middle name: (Child 2)
Your answer
Student's last name: (Child 2)
Your answer
Student is entering grade:
This child is:
Birthdate:
MM
/
DD
/
YYYY
Birthplace: (City, State - - OR - - Name of country for children born outside of the United States)
Your answer
Has this child been baptized Catholic?
Name of church where child was baptized: (skip this question if child has not been baptized at a Catholic church)
Your answer
Date of this child's baptism: (skip if child has not been baptized at a Catholic church)
MM
/
DD
/
YYYY
Student lives with:
Send school correspondence to:
Ethnicity (Child 2):
Race (Child 2):
Does this child have any known allergies?
If yes (allergies), please describe:
Your answer
Student's first name: (Child 3)
Your answer
Student's middle name: (Child 3)
Your answer
Student's last name: (Child 3)
Your answer
Student is entering grade:
This child is:
Birthdate:
MM
/
DD
/
YYYY
Birthplace: (City, State - - OR - - Name of country for children born outside of the United States)
Your answer
Has this child been baptized Catholic?
Name of church where child was baptized: (skip this question if child has not been baptized at a Catholic church)
Your answer
Date of this child's baptism: (skip if child has not been baptized at a Catholic church)
MM
/
DD
/
YYYY
Student lives with:
Send school correspondence to:
Ethnicity (Child 3):
Race (Child 3):
Does this child have any known allergies?
If yes (allergies), please describe:
Your answer
I understand that every family is expected to complete 20 "volunteer hours" throughout the school year or be responsible for a $300.00 fee if not completed. Mark your initial to indicate knowledge of this expectation.
Your answer
I understand that every family is expected to be an active participant on a Bingo kitchen team. (This commitment is approximately once every six weeks.) Mark your initials to indicate knowledge of this expectation.
Your answer
I understand that students are expected to arrive at school by 7:55 a.m. in order to have time to be in their seat, in the classroom, for the start of the day at 8:00 a.m. Mark your initials to indicate knowledge of this expectation.
Your answer
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