GRADES K-8 APPLICATION FOR ADMISSION 2022-2023

Saint Augustine of Canterbury School
Grades K-8 Application for Admission
2022-2023
Student Information
Grade Entering *
Name *

First Name Middle Name Last Name
Gender *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Township of Residency *
Home Phone Number *

Area Code Phone Number
Cell Phone Number

Area Code Phone Number
Date of Birth *

Month Day Year
Date
Place of Birth *
Religion
Language Spoken at Home
Parish Affiliation
Church Envelope Number
School Currently Attending
Please List Other Schools Attended and Years
School 1
Years Attended
School 2
Years Attended
School 3
Years Attended

Sacramental History

(if the child is Catholic)
Baptism - Church
Baptism - City/State
Baptism - Date

Month Day Year
First Penance - Church
First Penance - City/State
First Penance - Date

Month Day Year
First Eucharist - Church
First Eucharist - City/State
First Eucharist - Date

Month Day Year
Confirmation - Church
Confirmation - City/State
Confirmation - Date

Month Day Year

Family Information
Father's Name

First Name Last Name
Religion
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Township of Residency
Home Phone Number

Area Code Phone Number
Cell Phone Number

Area Code Phone Number
Email
example@example.com
Occupation
Employer
Mother's Name

First Name Last Name
Maiden Name
Religion
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Township of Residency
Home Phone Number

Area Code Phone Number
Cell Phone Number

Area Code Phone Number
Email
example@example.com
Occupation
Employer