Pleae complete ALL sections of this form and submit all required documents with application form.
Special Needs: Any special needs must be indicated below and a copy of the current IEP/ISP and ERT, 504 Plan, or any other special accommodation plan must be submitted with this admission application. Please give information on any health issues or other concerns on a separate sheet and attach to this application.
Proof of Custody
For all two-household families (divorced, separated, or single parents) and guardianship situations, St. Brigid School requires a copy of the most current CUSTODY AGREEMENT AND COURT ORDER to be kept in the student's confidential file. Due at the time of application for admission, this paperwork is required to confirm the enrolling adult's legal right to enroll the student in school. Custody information portion only is required. No visitation schedule or financial information is requested. Enrollment cannot be completed without proof of custody.
if St. Brigid School to use my child's picture in school sanctioned/sponsored publications such as school newsletters, school websites, advertising brochures and/or publick communciations (including newspapers and television).
Registration Fee $50.00
Please send the registration fee to St. Brigid School, 312 Fairground Road, Xenia, OH 45385. Please make check out to St. Brigid. Thank you.
Registration Fee Paid (Cash/check #) blanks Birth Certificate blank Parishioner Non-Parishoner