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
Date
Sex

MaleFemale
Student Name

First NameLast Name
Birthdate

MonthDayYear
Date
Sex

MaleFemale
Present Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Biological Father's Name

First NameMiddle NameLast Name
Marital Status

MarriedSeparatedDivorcedRemarriedDeceased
Phone Number
Please enter a valid phone number.
Email
example@example.com
Occupation
Company Name, if applicable
Religion
Biological Mother's Name

First NameMiddle NameLast Name
Marital Status

MarriedSeparatedDivorcedRemarriedDeceased
Phone Number
Please enter a valid phone number.
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.
Relationship to student
Emergency Contact #2

First NameLast Name
Phone Number
Please enter a valid phone number.
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.
Occupation
Company Name, if applicable
Religion
Stepmother's Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Occupation
Company Name, if applicable
Religion
Should be Empty:

St. John the Baptist Catholic School