New Student Application

  • Student Information

  • For PreK 3 enrollment, please specify ½ day or full day. For PreK 4 enrollment, please specify 3-day or 5-day
  • Date Format: MM slash DD slash YYYY
    (If yes, please supply Baptismal Record)
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Please enter a number from 0 to 12.
  • Please enter a number from 0 to 12.
  • Responses to the following item are not required. However, your assistance with this information is greatly appreciated.
  • Family Information

  • Please enter a number from 1 to 100.
  • Please enter a number from 1 to 100.
  • Please enter a number from 1 to 100.
  • Student Medical and Emergency Information

  • Emergency Contacts (other than child's parents or guardians)

  • Medical

  • If you do not have medical insurance, the diocese requires that you purchase school accident insurance
  • Agreements

    Individual Responsible for Payment of Tuition and Fees:
  • General Information

  • Please list family members who have attended

  • This field is for validation purposes and should be left unchanged.