New student

St. John the Baptist Catholic School

New Student Information
School Year
Resident School District
Grade(s) Entering
Parish, if applicable
Student Name

First NameMiddle NameLast Name
Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Sex
Student Name

First NameLast Name
Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Sex
Present Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Biological Father's Name

First NameMiddle NameLast Name
Marital Status
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Occupation
Company Name, if applicable
Religion
Biological Mother's Name

First NameMiddle NameLast Name
Marital Status
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Occupation
Company name, if applicable
Religion
Emergency Contacts

Please list two people who may be called in case of illness when parents cannot be reached.
Emergency Contact #1

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to student
Emergency Contact #2

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to student
If biological mother or father are remarried, please fill in the following questions.
Stepfather's Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Occupation
Company Name, if applicable
Religion
Stepmother's Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Occupation
Company Name, if applicable
Religion
Should be Empty:

St. John the Baptist Catholic School