Pre-K 3 APPLICATION FOR ADMISSION 2025-2026

Saint Augustine of Canterbury School
Pre-K 3 Application for Admission
2025-2026

CHILD MUST BE THREE (3) YEARS OF AGE ON OR BEFORE
OCTOBER 31, 2025

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*

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

PLEASE INDICATE YOUR SESSION PREFERENCE

First Choice

Three Year Olds - 8:00 to 10:30 AM - Tuesday & ThursdayThree Year Olds - 8:00 AM to 2:00 PM - Tuesday & Thursday with EnrichmentThree Year Olds - 8:00 to 10:30 AM - Monday, Wednesday, FridayThree Year Olds - 8:00 AM to 2:00 PM - Monday, Wednesday, Friday with EnrichmentThree Year Olds - 8:00 to 10:30 AM - Monday to FridayThree Year Olds - 8:00 AM to 2:00 PM - Monday to Friday with Enrichment

Second Choice

Three Year Olds - 8:00 to 10:30 AM - Tuesday & ThursdayThree Year Olds - 8:00 AM to 2:00 PM - Tuesday & Thursday with EnrichmentThree Year Olds - 8:00 to 10:30 AM - Monday, Wednesday, FridayThree Year Olds - 8:00 AM to 2:00 PM - Monday, Wednesday, Friday with EnrichmentThree Year Olds - 8:00 to 10:30 AM - Monday to FridayThree Year Olds - 8:00 AM to 2:00 PM - Monday to Friday with Enrichment

Student Information

Family Information

Family Information (continued)