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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 Primary Registration Form: GRADES K-5


           
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.
           
  When sending mail, address to (choose one):
If Other

Mailing Name:

 

 Address:

 

City:

   

State / Zip:

 

Home Phone:

   

Unlisted?

 

Parish:

   

City:

 
 

Parent / Guardian

     

Parent / Guardian

   

Name:

   

Name:

 

Relationship to Child:

   

Relationship to Child:

 

Employer:

   

Employer:

 

Work Phone:

   

Work Phone:

 

Cell Phone:

   

Cell Phone:

 

Religion:

   

Religion:

 

Marital Status:

   

Marital Status:

 
 

Student Name:

   

SSN:

 

 Grade Entering:

   

Sex:

 

Religion:

   

Ethic:

 

# Brothers:

   

# Sisters:

 
             

School District

   

Phone Number:

 

 AM Transportation:

   

PM Transportation:

 

School last attended:

   

Address:

 

City:

   

State / Zip:

 

Date Registered:

         

Date of Birth:

   

Place of Birth:

 
All new students must have their doctor complete a school health form and submit it to school before the first day of school.

 
Date Place Sacrament was Performed Address

Baptism

 

1st Comm

     

Reconcil

   

If the student is not living with his/her birth mother/father please complete below:
             

Birth Father:

   

Birth Mother:

 

Address:

   

Address:

 

City:

   

City:

 

State / Zip:

   

State / Zip:

 

Religion:

   

Religion:

 

NON-PARENTAL INFORMATION
             

Name:

   

Relationship to Child:

 

Address:

   

Phone:

 
             
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Signature of Parent / Guardian