Pre-K 4 APPLICATION FOR ADMISSION 2023-2024

Saint Augustine of Canterbury School
Pre-K 4 Application for Admission
2023-2024
Student Information
CHILD MUST BE FOUR (4) YEARS OF AGE ON OR BEFORE
OCTOBER 31, 2023
Name*

First NameMiddle NameLast Name
Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

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

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
Date of Birth*

MonthDayYear
Date
Place of Birth*
Religion
Language Spoken at Home
Parish Affiliation
Church Envelope Number
SACRAMENTAL HISTORY (if the child is Catholic)
Baptism - Church
Baptism - City/State
Baptism - Date

MonthDayYear
PLEASE INDICATE YOUR SESSION PREFERENCE
First Choice

Four Year Olds - 8:00 to 10:30 AM - Monday to FridayFour Year Olds - 8:00 AM to 2:00 PM - Monday to Friday with Enrichment
Second Choice

Four Year Olds - 8:00 to 10:30 AM - Monday to FridayFour Year Olds - 8:00 AM to 2:00 PM - Monday to Friday with Enrichment