2021-22 St.Paul's Christian Day School Registration
Student Name
*
First Name
Middle Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
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June
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Month
Please select a day
1
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Day
Please select a year
2024
2023
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1921
1920
Year
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender
*
Please Select
Male
Female
N/A
Mother's Name
*
Name
Cell Phone
Mother's Place of Employment
*
Place of Employment
Work Phone
Mother's Email Address
*
example@example.com
Father's Name
*
Name
Cell Phone
Father's Place of Employment
*
Place of Employment
Work Phone
Father's Email Address
*
example@example.com
This gives us permission to print the above information in the student directory.
*
Please Select
Yes
No
Enroll my child in this class:
*
Please Select
Tumbling Turtles
Frisky Frogs Mon/Tues Class
Frisky Frogs W-F Class
Bouncing Bears M-W Class
Bouncing Bears W-F Class
Ocean Treasures A.M. Class
Ocean Treasures P.M. Class
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Please Select Class in drop down menu
Ex Care Needed
Full Time
Part Time
Click Extended Care Needed if Part Time
Morning
(7:15-11:30)
Lunch Bunch
(7:30-1:00)
Lunch & Afternoon
(11:30-5:30)
After School
(3:30-5:30)
Study Hall Only
(3:30-4:30)
Monday
Tuesday
Wednesday
Thursday
Friday
This is a place to add a schedule option that you may need.
blanks
Check your payment request:
*
BILL Full Registration Fees to My Day School ProCare Account to be applied with my tuition February 10, $450.00 (less $25.00 for church member in good standing)
Bill ProCare in 2 installments . Payment #1 February 10 $225.00, #2 March 10
Bill ProCare in 3 Installments Payment # 1 February 10 $150.00, #2 March 10, #3 April10
Will bring Cash or Check Payment by CDS Office
Your signature below states that this form information is accurate.
Submit
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