K-8REG

St. Mary Kindergarten Registration

Please submit the following information to begin the registration process for your Kindergarten child.

Student First Name*

Student Last Name*

Entering Grade*

Student 2 First Name

Student 2 Last Name

Entering Grade

Student 3 First Name

Student 3 Last Name

Entering Grade

Student 4 First Name

Student 4 Last Name

Entering Grade

Student 5 First Name

Student 5 Last Name

Entering Grade

Student 1 Birth Date*

Student 1 Age*

Student 2 Birth Date

Student 2 Age

Student 3 Birth Date

Student 3 Age

Student 4 Birth Date

Student 4 Age

Student 5 Birth Date

Student 5 Age

Parent 1/Guardian 1 First Name*

Parent1 /Guardian 1 Last Name*

Employer 1*

Occupation 1*

Parent 2 /Guardian 2 First Name

Parent 2/Guardian 2 Last Name

Employer 2

Occupation 2

Religious Affiliation*

Parish Membership

Home Street Address*

City*

Zip Code*

Telephone Number (no symbols)*

Parent/Guardian Email Address*

Repeat Parent/Guardian Email Address*

Emergency Contact Name*

Emergency Contact Relationship to Child*

Emergency Contact Phone Number*

Message for us or Questions?

$75 Registration fee per family

The school office will contact you to schedule an appointment. Thank you!