School Registration Form
This form will become part of the student's permanent record and must be signed by the student’s legal guardian.
Welcome to Good Shepherd's School Registration
Child's Contact Information
Enter information for the child's current address and bio.
Student's Legal Name *
Your answer
Current Street Address *
Your answer
City *
Your answer
State *
Your answer
Child's Sex *
Child's City of Birth *
City, State
Your answer
Date of Birth *
Previous School
If your child is transferring to Good Shepherd from another school, please indicate where he/she is transferring from.
Your answer
Race/Ethnicity Identification
You must identify your child's race and ethnicity. Please choose the appropriate items below.
What is your child's race? *
What is your child's ethnicity? *
Parent/Legal Guardian Information
List the name and phone number for the following people in your child's life. If there is other information that you feel is important, please contact us directly so that we can add it. Ph: (605) 371-0047
Father, Stepfather or Male Guardian *
Your answer
Father's Cell Phone *
Your answer
Mother, Stepmother or Female Guardian *
Your answer
Mother's Cell Phone *
Your answer
Email Contact Information *
We will not use your email unless you request more information in the box below.
Your answer
Would you like us to contact you when we receive the registration? *
Thank You
If you would like to contact us regarding this registration application, call (605)371-0047.
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