Preschool Registration
St. John the Baptist Catholic School
Parent Name
First Name
Last Name
Parent Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number #1
Please enter a valid phone number.
Phone Number #2, if applicable
Please enter a valid phone number.
Email #1
example@example.com
Email #2, if applicable
example@example.com
Residence School District
Home Parish, if applicable
Student Name
First Name
Last Name
Student Date of Birth
-
Month
-
Day
Year
Date
Program Selection
3 days/week
5 days/week
Submit
Should be Empty: