Information Regarding Legal Custody

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St. Helen's School 2008-2009 Information Regarding Legal Custody

Online forms are available for your use in registration.
Please complete, print, sign (if applicable), and submit to the school office.

If you have any questions, please contact the office at 382-8225.

INFORMATION REGARDING LEGAL CUSTODY
To be completed as part of the registration / re-registratin agreement.
Complete this form, print it out ('File', and 'Print' on your browser) and submit this as part of your registration packet to the school office.

Date:

Grade in 2008-2009

Child's Name:

Address of child's residence:

Child lives with:
both birth parents

biological mother, step/adoptive father

biological father step/adoptive mother

adoptive parents

only mother

only father

grandparents (who have legal custody)
other relative (who has legal custody)

Relationship to Child

Other

Please explain.

Residential parent/guardian:

Name:

Phone:

Address:

City:

State/Zip:

Is there a court order (or pending order) affecting the custody and/or residency of the child?YesNo

Please attach a certified copy of the page of the court decision bearing the case number and those sections referring to visitation rights and contacts with the school. Also include the page bearing the judge's signature and court seal. This copy should include any and all modifications made as of the date of registration of the child in this school. It is also the responsibility of the parents to inform the principal of any subsequent modifications during the child's tenure at the school.

Non-Residential parent/guardian:

Name:

Phone:

Address:

City:

State/Zip:

Does the non-residential parent have visitation rights?YesNo

Is there a court decision that states that the non-residential parent should not recieve information or attend school activities?YesNo

Is the non-residential parent responsible for paying tuition?YesNo

_______________________________________________________

Parent / Guardian Signature _______________________________________________________

Date

			untitled Saint Helen's Home \| Main Registration Page Registration Pages: Educare \| Pre-K \| Nursery \| K-5 Registration Checklists: Educare \| Pre-K \| Nursery \| K-5

St. Helen's School 2008-2009 Information Regarding Legal Custody


Online forms are available for your use in registration. Please complete, print, sign (if applicable), and submit to the school office. If you have any questions, please contact the office at 382-8225.

INFORMATION REGARDING LEGAL CUSTODY To be completed as part of the registration / re-registratin agreement. Complete this form, print it out ('File', and 'Print' on your browser) and submit this as part of your registration packet to the school office.

Date:		Grade in 2008-2009
Child's Name:
Address of child's residence:

Child lives with:	both birth parents biological mother, step/adoptive father biological father step/adoptive mother adoptive parents only mother only father grandparents (who have legal custody)	other relative (who has legal custody) Relationship to Child Other Please explain.

Residential parent/guardian:
Name:		Phone:
Address:
City:		State/Zip:

Is there a court order (or pending order) affecting the custody and/or residency of the child?YesNo

Please attach a certified copy of the page of the court decision bearing the case number and those sections referring to visitation rights and contacts with the school. Also include the page bearing the judge's signature and court seal. This copy should include any and all modifications made as of the date of registration of the child in this school. It is also the responsibility of the parents to inform the principal of any subsequent modifications during the child's tenure at the school.

Non-Residential parent/guardian:
Name:		Phone:
Address:
City:		State/Zip:

Does the non-residential parent have visitation rights?YesNo
Is there a court decision that states that the non-residential parent should not recieve information or attend school activities?YesNo
Is the non-residential parent responsible for paying tuition?YesNo


_______________________________________________________ Parent / Guardian Signature				_______________________________________________________ Date