NEW STUDENT FORM

CHURCH OF THE HOLY SPIRIT

PARISH RELIGIOUS EDUCATION 2008 -2009

PRESCHOOL THROUGH 7TH GRADE REGISTRATION

PLEASE PRINT

STUDENT'S NAME_________________________________ M___F___

ADDRESS____________________________________ZIP__________BIRTHDATE______________

HOME PHONE__________________WORK PHONE________________EMAIL______________________       

REGISTERING FOR PRESCHOOL --- SESSION: 10:15 AM

3 YR OLD______(MUST BE 3 BY 9/30/08) 4 YR OLD______

KINDERGARTEN__________

REGISTERING FOR GRADE____________SCHOOL ATTENDING________________________

                GRADES 1ST THROUGH 5TH -- SUNDAY 10:15AM TO 11:30AM

                GRADES 6TH and 7TH -- SUNDAY EVENING 5:00 TO 6:15 PM

CHECK SACRAMENTS ALREADY RECEIVED:

BAPTISM_____ EUCHARIST_____ RECONCILIATION_____ CONFIRMATION______

NAME OF CHURCH/CATHOLIC SCHOOL ENROLLED 2007-2008 YEAR _________________________

MOTHER'S NAME ____________________________________________________________

MOTHER'S ADDRESS (if different from child's)___________________________________

FATHER'S NAME_____________________________________________________________

FATHER'S ADDRESS (if different from child's) ____________________________________

SPECIAL REQUESTS?_________________________________________________________

LEARNING DISABILITIES, ALLERGIES, ETC? __________________________________

______________________________________________________________________________

REGISTERED IN HOLY SPIRIT PARISH? YES NO (CIRCLE ONE)

PARENT'S SIGNATURE____________________________