Registration 2018-19

Registration 2022-2023
St. Patrick School of the Terre Haute Deanery

Possible Waitlist Procedures: Students are placed in classrooms after the application window closes on March 17,2022. Waitlists are established after this period. Students are placed on a waitlist in the following order: 1. Current SPS Families 2. Catholic Families 3. Non-Catholic Families. **We have a waiting list for Preschool and Kindergarten*
*Children entering Kindergarten must be 5 years old before October 1, 2022. No exceptions will be made to this date.*
Family Name
Last Name
Current or New Family? *

Current School Family New School Family
Is your family an ACTIVE member of a Catholic parish in the Terre Haute Deanery?

Yes No
*If yes, please list your parish.
Parish
How many students are you registering today?
Number of students
Student 1
Name of Student 1

First Name Middle Name Last Name
Is this student a returning SPS student or new for the 2022-2023 school year?

returning student new student
Grade student will be entering in the 2022-2023 school year?

PreK Full Day Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th
Date of birth
Gender

female male
Student Ethnicity

White Black Asian Hispanic Multiracial Native Hawaiian or other pacific islander
Has this student been baptized in the Catholic Church?

Yes No
*If YES, please list the location of baptism
Has this student received First Holy Communion?

Yes No
*If yes, please list the location of First Holy Communion.
What is the public school of residence for this student? (What public school would they attend if not coming to St. Patrick?)
Public school
Student 2 (skip to bottom section of not applicable)
Name of Student 2

First Name Middle Name Last Name
Is this student a returning SPS student or new for the 2022-2023 school year?

returning student new student
Grade student will entering in the 2022-2023 school year?

PreK Full Day Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th
Date of birth
Gender

female male
Student Ethnicity

White Black Asian Hispanic Multiracial Native Hawaiian or other pacific islander
Has this student been baptized in the Catholic Church?

Yes No
*If YES, please list location of baptism
Has this student received First Holy Communion?

Yes No
*If YES, please list location of First Holy Communion
What is the public school of residence for this student? (What public school would they attend if not coming to St. Patrick?)
Name of public school
Student 3 (skip to bottom section if not applicable)
Name of Student 3

First Name Middle Name Last Name
Is this student a returning SPS student or new for the 2022-2023 school year?

returning student new student
Grade student will be entering in the 2022-2023 school year?

PreK Full Day Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th
Date of birth
Gender

Female Male
Student Ethnicity

White Black Asian Hispanic Multiracial Native Hawaiian or other pacific islander
Has this student been baptized in the Catholic church?

Yes No
*If YES, please list location of baptism
Has this student received First Holy Communion?

Yes No
*If YES, please list location of First Holy Communion
What is the public school of residence for this student? (What public school would they attend if not coming to St. Patrick?)
Public school
Student 4 (skip to bottom section if no applicable)
Name of student 4

First Name Middle Name Last Name
Is this student a returning SPS student or new for the 2022-2023 school year?

Returning student New student
Grade student will be entering in 2022-2023 school year?

PreK Full Day Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th
Date of birth
Gender

Female Male
Student Ethnicity

White Black Asian Hispanic Multiracial Native Hawaiian or other pacific islander
Has this student been baptized in the Catholic church?

Yes No
*If YES, please list the location of baptism.
Has this student received First Holy Communion?

Yes No
*If YES, please list location of First Holy Communion.
What is the public school of residence for this student? (What public school would they attend if not coming to St. Patrick?)
Public school
Student 5 (skip to next section if not applicable)
Name of student 5

First Name Middle Name Last Name
Is this student a returning SPS student or new for the 2022-2023 school year?

Yes No
Grade student will be entering in 2022-2023 school year?

PreK Full Day Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th
Date of birth
Gender

Female Male
Student Ethnicity

White Black Asian Hispanic Multiracial Native Hawaiian or other pacific islander
Has this student been baptized in the Catholic church?

Yes No
*If YES, please list the location of baptism.
Has this student received First Holy Communion?

Yes No
*If YES, please list location of First Holy Communion.
What is the public school of residence for this student? (What public school would they attend if not coming to St. Patrick?)
Public school
Parent/Guardian Information
Parent/Guardian Name

First Name Last Name
Home phone
Cell phone
Work phone
E-mail address
Home address
Parent/Guardian Name

First Name Last Name
Home phone
Cell phone
Work phone
E-mail address
Home address
Name of individual(s) responsible for tuition payment
In order to complete registration payment must be remitted
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Registration Fee (per student) $ 30.00

Quantity

Total $ 0.00
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Registration 2022-2023

St. Patrick School of the Terre Haute Deanery

Student 1

Student 2 (skip to bottom section of not applicable)

Student 3 (skip to bottom section if not applicable)

Student 4 (skip to bottom section if no applicable)

Student 5 (skip to next section if not applicable)

Parent/Guardian Information