St. George's School Application for Admission
Application for St. George's School 2017-2018 School Year. Please complete form and submit the $150 non-refundable application fee to St. George's School 912 Rt. 146 Clifton Park, NY 12065. Checks should be made payable to St. George's School.
Email address
Child Information
Child's First Name:
Your answer
Child's Last Name:
Your answer
Child Prefers to be Called:
Your answer
Program for Which Child is Applying:
Additional Programs in Which the Student will Enroll:
Date of Birth:
MM
/
DD
/
YYYY
Gender:
Street Address:
Your answer
City:
State:
Zip Code:
Your answer
Public School District in Which Child Resides:
Primary Language Spoken at Home:
Your answer
Other Language(s) Spoken at Home:
Your answer
Ethnicity: This is optional and will be used only for NYS BEDS reporting purposes.
Allergies:
Required
Epi Pen Required:
Please Specify any Additional Health Conditions:
Your answer
Has Your Child Ever Had Psychological or Educational Testing?
If Yes, Please Specify:
Your answer
Does Your Child Receive Additional Instruction (i.e. Foreign Language, Art, Remedial Instruction)
If Yes, Please Specify
Your answer
Is Your Child Currently Enrolled in a School/Program
If Yes, Current School in Which He/She is Enrolled:
Your answer
Current Grade:
Your answer
Number of Years Attended Current Program:
Your answer
Current Program Contact Information :
Your answer
Siblings to be Enrolled at St. George's for 2017?
If Yes, Name and Program of Sibling:
Your answer
Family a Member of St. George's Church?
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