Application for Student Enrollment

Application For School Year*

Grade*

Gender*

Male
Female

Child's Name*

First Middle Last

Email*

Permanent Address*

Street Address City State / Province / Region ZIP / Postal Code

Birthplace*

Birthdate*

Religion*

Public School District*

Public School*

Father's Information

Father's Name*

First Middle Last

Occupation

Business Address

Home Phone

Cell Phone

Business Phone

Email

Religion

Mother's Information

Mother's Name*

First Middle Last

Occupation

Business Address

Home Phone

Cell Phone

Work Phone

Email

Religion

Basic Information

With whom does the child live?*

Both Parents
Mother
Father
Other

If divorced or separated, who has custody*?

Mother
Father
Other

*A copy of the custody section of the divorce or separation decree must be filed with the school office.

Roman Catholic Baptism Date

Church

City

First Communion Date

Church

City

Are you a registered parishioner of St. Margaret Mary Alacoque Church?

Yes
No

Are you registered in another Catholic Parish?

Yes
No

Name of Parish

School that the child last attended or is not attending:

Name of School

Address of School

Street Address City State / Province / Region ZIP / Postal Code

Signature of Parent (Guardian)*

Printed Name of Parent (Guardian)*

First Last

Signature of Parent (Guardian)

Printed Name of Parent (Guardian)

First Last

Date of application*

Please note: This is an application and not a registration form. This application does not entail any obligation for registration on the part of the school. The teaching of the Roman Catholic religion and participation in Church liturgies is an integral part of the curriculum of St. Margaret Mary Alacoque School. It is understood that non-Catholic students as well as Catholic students attend both religion classes and school liturgies. St. Margaret Mary Alacoque School admits students of any race, color, and national and/or ethnic origin to all the rights, privileges, programs and activities generally accorded or made available to students at this school. St. Margaret Mary Alacoque School does not discriminate on the basis of race, color and national and/or origin in administration of education policies, admissions policies or other school-administered programs. Principal Marianne Freiling will contact you within one week of submitting this application.

Father's Information

Mother's Information

Basic Information

Contact Us