St. Helena School Registration Form
Fill out the form carefully for registration
Grade Grade for School Year 2023 - 2024
*
Please Select
Preschool (3 year old)(waitlist)
Preschool (4 year old)(waitlist)
Kindergarten (waitlist)
First (1st) Grade
Second (2nd) Grade
Third (3rd) Grade
Fourth (4th Grade
Fifth (5th) Grade
Student Name
*
First Name
Middle Name
Last Name
Gender
*
Please Select
Female
Male
Age
*
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
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5
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31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
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1981
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1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Place of Birth (City, State)
*
Race
*
Please Select
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Ethnicity
*
Please Select
Hispanic Origin
Not of Hispanic Origin
Religion
*
Please Select
Catholic
Orthodox
Protestant
Hindu
Muslim
Buddhist
Jewish
No Affiliation
Other (Please list)
Other Religion (if applicable)
First or Second Year First Communion Sacramental Preparation Student (Student must be in 2nd grade or higher and baptized in the Catholic Church)
*
Please Select
Yes
No
Date of Baptism (if applicable)
-
Month
-
Day
Year
Date
Church of Baptism
Place of Baptism (City, State)
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address (if different from Home Address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Who does the child live with?
*
Both parents
Father
Mother
Legal Guardian
Other
Mother's Name
*
First Name
Last Name
Race
*
Please Select
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Ethnicity
*
Please Select
Hispanic Origin
Not of Hispanic Origin
Religion
*
Please Select
Catholic
Orthodox
Protestant
Hindu
Muslim
Buddhist
Jewish
No Affiliation
Other (Please list)
Other Religion (if applicable)
E-mail
*
example@example.com
Mobile Number
*
Home Number
Please enter a valid phone number.
Employer
Work Number
Father's Name
*
First Name
Last Name
Race
*
Please Select
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Ethnicity
*
Please Select
Hispanic Origin
Not of Hispanic Origin
Religion
*
Please Select
Catholic
Orthodox
Protestant
Hindu
Muslim
Buddhist
Jewish
No Affiliation
Other (Please list)
Other Religion (if applicable)
Email
*
example@example.com
Mobile Number
*
Please enter a valid phone number.
Home Number
Please enter a valid phone number.
Employer
Work Number
Family Physician
*
Physician Office Number
*
Please enter a valid phone number.
Medical Conditions/Allergies (Please include any necessary medicines and dosages)
*
PLEASE READ: I/We, the undersigned parent(s) or legal guardian(s), of registered child/children, do hereby authorize the authorities of St. Helena School of Hobbs, Inc. to permit its designated representatives to give consent to a physician and/or hospital for emergency medical and/or surgical treatment when necessary to our son/daughter for sustained injuries or sickness requiring emergency treatment during school hours; or after school hours while partaking in school sponsored activities, such as education, social, or athletic events, provided such event or events have an authorized representative of the school present. It is understood that the school or its representatives do not assume any financial responsibility for any expenses that might be incurred for said emergency treatment. It is further understood that the school authorities will notify us as soon as possible following the emergency, but in no way is treatment to be delayed until we have been notified.
Emergency Contact 1
First Name
Last Name
Contact Number
Please enter a valid phone number.
Relationship to Student
Authorized to pick up
Yes
No
Emergency Contact 2
First Name
Last Name
Contact Number
Please enter a valid phone number.
Relationship to Student
Authorized to pick up
Yes
No
Emergency Contact 3
First Name
Last Name
Contact Number
Please enter a valid phone number.
Relationship to Student
Authorized to pick up
Yes
No
Person Completing Form
*
First Name
Last Name
Relationship to Student
*
First Language Learned
*
Language Most Spoken at Home
*
Language Most Spoken with Others
*
Additional Child #1 to Enroll
First Name
Middle Name
Last Name
Grade for School Year 2023 - 2024
Please Select
Preschool (3 year old)
Preschool (4 year old)
Kindergarten
First (1st) Grade
Second (2nd) Grade
Third (3rd) Grade
Fourth (4th) Grade
Fifth (5th) Grade
Gender
Please Select
Female
Male
Age
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Place of Birth (City, State)
Race
Please Select
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Ethnicity
Please Select
Hispanic Origin
Not of Hispanic Origin
Religion
Please Select
Catholic
Orthodox
Protestant
Hindu
Muslim
Buddhist
Jewish
No Affiliation
Other (Please list)
Other Religion (Please list)
First or Second Year First Communion Sacramental Preparation Student (Student must be in 2nd grade or higher and baptized in the Catholic Church)
Please Select
Yes
No
Date of Baptism (if applicable)
-
Month
-
Day
Year
Date
Church of Baptism (if applicable)
Place of Baptism (if applicable)
Medical Conditions/Allergies (Please include any necessary medicines and dosages)
Additional Child #2 to Enroll
First Name
Middle Name
Last Name
Grade for School Year 2023 - 2024
Please Select
Preschool (3 year old)
Preschool (4 year old)
Kindergarten
First (1st) Grade
Second (2nd) Grade
Third (3rd) Grade
Fourth (4th) Grade
Fifth (5th) Grade
Gender
Please Select
Female
Male
Age
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Place of Birth (City, State)
Race
Please Select
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Ethnicity
Please Select
Hispanic Origin
Not of Hispanic Origin
Religion
Please Select
Catholic
Orthodox
Protestant
Hindu
Muslim
Buddhist
Jewish
No Affiliation
Other (Please list)
Other Religion (Please list)
First or Second Year First Communion Sacramental Preparation Student (Student must be in 2nd grade or higher and baptized in the Catholic Church)
Please Select
Yes
No
Date of Baptism (if applicable)
-
Month
-
Day
Year
Date
Church of Baptism (if applicable)
Place of Baptism (if applicable)
Medical Conditions/Allergies (Please include any necessary medicines and dosages)
Back
Next
Please read each section carefully and sign below, indicating your agreement with each statement.
If you have any questions regarding these statements and wish to discuss prior to signing, please contact the school office at 575-392-5405.
St. Helena Catholic School strongly believes in "parent power" The greater the parent/guardian support, the increased success we can achieve as a school. There is endless research that outlines the countless benefits of parent involvement in children's education. Each family is required to serve a minimum of thirty (30) service hours during the school year. These hours must be completed by May 3, 2024. A cash fee of $20 may be substituted for each service hour not served. Parents must attend a Safe Environment/Virtus training, in order to participate in all classroom recess, field trip, and before/after school activities. Unmet obligations will be added to the family's bill at the end of the year. Parents must serve a minimum of 4 hours at the 2024 St. Helena Family Fair. It is mandatory that all parents sell or buy 2 Elimination Draw Tickets for our Mardi Gras Fundraiser. Each ticket is $100. There are no exceptions. Parents must also serve a minimum of 4 hours with preparation of the fundraiser, during the event or with cleanup afterwards. Any scholarships granted to the students will not cover service hour fees. Guidelines on how to log hours and the various ways to earn hours are stated in the handbook. By signing, you acknowledge that you have read and fully understand the Service Hour Requirement and are responsible for any and all unmet obligations.
*
There are several occasions during the school year that pictures of students are used for advertising, sent with thank you notes, or used for fundraising projects. In addition, the Hobbs News-Sun and other media sources occasionally take photographs. Parents/Guardians who consent to their child being photographed for the above purpose(s) should sign below.
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It will be the responsibility of each family to keep the office informed of any personal difficulties in making tuition payments. Any special arrangements for tuition payments will have to be made with the principal. Families who miss a monthly payment due to insufficient funds will be assessed a $25.00 missed payment fee by FACTS and may incur a fee from their own financial institution. The missed payment will be reattempted by FACTS within 20 days. Accounts that are not up to date by the end of the first semester will be evaluated individually. Student attendance may not be permitted the second semester if account is not current.
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Any remaining balance from the previous school year and all current fees (book and testing fee for Kindergarten through 5th grade and/or registration fee for new families only) must be paid by August 4, 2023 to finalize your child's enrollment. As the school is on limited capacity due to New Mexico Public Education Department's regulations, all enrollment will be limited. Please also provide the school with a copy of the Birth Certificate, Immunization Record, Any specialized instruction information (i.e. IEP), and Baptism Certificate (if applicable) if not already on file. If you have any questions, please contact the school office at 575-392-5405.
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If it becomes necessary for a child to transfer to another school, the principal and teacher should be notified. This should be done several days in advance so that all records can be properly completed. It is the responsibility of the parents to get the child's report card, and their personal possessions on the last day of the child's attendance. When a child is withdrawn from school, for any reason, only tuition paid in advance for future months will be refunded. If a child withdraws before the end of the month, the tuition for the entire month must still be paid.
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