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St. Helen's School Primary Registration Form: PRE-K PROGRAM
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.
Section: Morning: 8:30-11:15am Afternoon: 12:00-2:45pm           When sending mail, address to (choose one): Choose One Mr. / Mrs. Mr. Mrs. Miss. Ms. Dr. / Mrs. Other If Other               Mailing Name:    Address:   City:     State / Zip:   Home Phone:     Unlisted?   Choose One Yes No 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:   Choose One Male Female 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           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:                               _______________________________________________________________________________________________________ Signature of Parent / Guardian