2021 - 2022 Registration/Application for St. Christopher School
To begin the registration process, you must do one of two things: 1.) Pay a $50.00 registration fee - OR - 2.) If you qualify for the Choice Scholarship, you must submit your 2020 Federal 1040 tax paperwork.
The registration/application process is not started until you have done one of these two things!
* Required
Parent completing this registration
*
Your answer
Is your family new to St. Christopher School? (New = You did not have children attend St. Christopher School during the 2020 - 2021 school year.)
Yes
No
Clear selection
List the name/names of the person/people who are responsible for tuition:
*
Your answer
Are you... ?
*
Mother
Father
Other/Guardian
Address: (Example: 5335 W. 16th Street)
*
Your answer
City:
*
Your answer
State:
*
Your answer
Zip Code:
*
Your answer
Home (land line) phone number: (Example: 317-555-5555); Leave this blank if you do not have a land line.
Your answer
Cell phone number: (Please use this format: 317-555-5555)
Your answer
Employer:
Your answer
Occupation:
Your answer
Email address:
Your answer
Are you:
*
Catholic
Non-Catholic
Parish Information:
*
Active member of St. Christopher parish
Catholic (but not a parishioner at St. Christopher parish)
Not Catholic
If you are a parish member, what is your envelope number?
Your answer
Name of Parent 2:
Your answer
Parent 2:
Mother
Father
Other/Guardian
Clear selection
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); Leave this blank if you do not have a land line.
Your answer
Cell phone number of Parent 2: (Please use this format: 317-555-5555)
Your answer
Employer (Parent 2):
Your answer
Occupation (Parent 2):
Your answer
Email Address (Parent 2)
Your answer
Is Parent 2:
Catholic
Non-Catholic
Clear selection
Student's first name: (Child 1) - Please register your YOUNGEST child first.
*
Your answer
Student's middle name: (Child 1)
*
Your answer
Student's last name: (Child 1)
*
Your answer
Student is entering grade:
*
Pre-K All day 8:00 - 3:00 (Must be 4 years old by August 1, 2021)
Pre-K Half day 8:00 - 12:00 (Must be 4 years old by August 1, 2021)
Kindergarten (Must be 5 years old by August 1, 2021)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
This child is:
*
Male
Female
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?
*
Yes
No
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:
*
Both parents
Mother
Father
Other/Guardian
Send school correspondence to:
*
Both parents
Mother
Father
Other/Guardian
Ethnicity:
*
No, not Hispanic/Latino
Yes, Hispanic/Latino
Race:
*
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
Caucasian
Hispanic
Multi-racial
Other:
Does this child have any known allergies?
*
Yes
No
If yes (allergies), please describe:
Your answer
List any other medical concerns for this child:
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) - If registering a second child, please register the next youngest child.
Your answer
Student's middle name: (Child 2)
Your answer
Student's last name: (Child 2)
Your answer
Student is entering grade:
Pre-K All day 8:00 - 3:00 (Must be 4 years old by August 1, 2021)
Pre-K Half day 8:00 - 12:00 (Must be 4 years old by August 1, 2021)
Kindergarten (Must be 5 years old by August 1, 2021)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Clear selection
This child is:
Male
Female
Clear selection
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?
Yes
No
Clear selection
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:
Both parents
Mother
Father
Other/Guardian
Clear selection
Send school correspondence to:
Both parents
Mother
Father
Other/Guardian
Clear selection
Ethnicity (Child 2):
No, not Hispanic/Latino
Yes, Hispanic/Latino
Clear selection
Race (Child 2):
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
Caucasian
Hispanic
Multi-racial
Clear selection
Does this child have any known allergies?
Yes
No
Clear selection
If yes (allergies), please describe:
Your answer
List any other medical concerns for this child:
Your answer
Student's first name: (Child 3) - If registering a third child, please register the next youngest child.
Your answer
Student's middle name: (Child 3)
Your answer
Student's last name: (Child 3)
Your answer
Student is entering grade:
Pre-K All day 8:00 - 3:00 (Must be 4 years old by August 1, 2021)
Pre-K Half day 8:00 - 12:00 (Must be 4 years old by August 1, 2021)
Kindergarten (Must be 5 years old by August 1, 2021)
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Clear selection
This child is:
Male
Female
Clear selection
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?
Yes
No
Clear selection
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:
Both parents
Mother
Father
Other/Guardian
Clear selection
Send school correspondence to:
Both parents
Mother
Father
Other/Guardian
Clear selection
Ethnicity (Child 3):
No, not Hispanic/Latino
Yes, Hispanic/Latino
Clear selection
Race (Child 3):
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
Caucasian
Hispanic
Multi-racial
Clear selection
Does this child have any known allergies?
Yes
No
Clear selection
If yes (allergies), please describe:
Your answer
List any other medical concerns for this child:
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
Once the school is able to welcome volunteers back into the building, I would like to be involved with: (Please mark all that apply to you/your spouse.)
Running for a PTP (Parent Teacher Partnership) board position (president, vice president, secretary, treasurer)
Being on the Auction Committee (the school's largest fundraiser)
Helping sell trash bags after weekend Masses, once a month
Organizing Restaurant Fundraisers (setting up events with restaurants where the school earns money through our families eating there on a particular day)
Helping with an annual Craft Show (summer/fall events)
Being on a marketing committee to help market our school
Being a classroom representative (to help with communication among parents in that classroom, assist the teacher with special projects, be in charge of a class auction project, etc.)
Help teachers with "take home work" such as cutting items, organizing papers, cutting laminated materials, etc.
Plan and execute "Breakfast with Santa"
Graduation Reception (we need 2021-2022 5th grade parents to sign up for this!)
Grandparents' Day
Uniform Exchange
Parking Lot Assistant (dismissal)
Other:
If you chose "other" above, what gifts/talents do you have?
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
Who will be responsible for fulfilling the Bingo requirement?
Your answer
For current families: My current Bingo status is:
I am assigned to a team and regularly fulfill my duty.
I am assigned to a team but will have to pay the fee for not fulfilling my obligation.
I need to be assigned to a team.
Clear selection
For new families, if you have a friend and would like to request that you are assigned to a specific team, please share that information here:
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
Any Comments?
Your answer
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