2022-2023 Holy Family School Transfer Student Grades 1-8 Registration

Thank you for your interest in Holy Family School. Please register for the 2022-2023 school year by completing the information below. In addition to this application we require a copy of your student's most recent report card, standardized test scores and any IEP, 504, or special accommodation plans. Please upload the documents in the designated spaces below. Contact Lisa Harvey at 810.694.9072, ext. 2100 or at lharvey@hfsgb.org if you have any questions.

Student's Name*

First Name Last Name

Student's Middle Name*

Date of Birth*

Date

Gender*

MaleFemale

Name of school currently attending:*

Address of school currently attending:*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number for school currently attending:*

Area Code Phone Number

Fax Number for school currently attending:*

Area Code Phone Number

Upload copy of most recent report card here:*

Browse Files

Upload copy of most recent standardized test scores here:*

Browse Files

Upload copies of any accommodation plans/IEP/ or 504 plans here:

Browse Files

Grade Entering (2022-2023):*

Ethnicity Survey (Please check all that apply)*

Religion*

CatholicNon-CatholicOther

If you are a Catholic, at which parish are you a registered member:*

In order to best serve your student, please advise as to whether your child currently or in the past has received special educational accommodations.*

Please briefly list any learning concerns that you have regarding your child:*

Is this child's primary language a language other than English?*

NoYes

If the primary language used in the home is not English, what language is spoken?

Please select below any you have an interest in:

Reason for transferring:*

Name - Female Parent/Guardian*

First Name Last Name

Female Parent/Guardian's Occupation*

Name - Male Parent/Guardian*

First Name Last Name

Male Paretnt/Guardian's Occupation*

Primary Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

If you live in the Grand Blanc School District, will you be using the Grand Blanc buses for transportation:*

YesNo

Current Marital Status:

MarriedSingleDivorcedRemarried

Child resides with:*

Email - Parent/Guardian*

example@example.com

Email - Parent/Guardian*

example@example.com

Phone Number - Parent/Guardian*

Area Code Phone Number

Phone Number - Parent/Guardian*

Area Code Phone Number

Residential School District*

How did you hear about Holy Family School?

Name of Person Completing this Registration Form*

First Name Last Name

Signature of Person Completing this Registration Form*

Clear

2022-2023 Holy Family School Transfer Student Registration

Family Information

Records Request