Holy Family Early Childhood Center
Application for Admission
Student Information
Please Select School Year
*
Please Select
2025-2026
2026-2027
2027-2028
Please Select
*
1 Yr Old - 5 Full Days
1 Yr Old - 5 Full Days With Extended Day (3pm to 6pm)
2 Yr Old - 5 Full Days
2 Yr Old - 5 Full Days With Extended Day (3pm to 6pm)'
2 Yr Old - 5 1/2 Days
2 Yr Old - 3 Full Days (Tuesdays, Wednesdays and Thursdays)
3 Yr Old - 5 Full Days
3 Yr Old - 5 Full Days With Extended Day (3pm to 6pm)
3 Yr Old - 5 1/2 Days
4 Yr Old - 5 Full Days
4 Yr Old - 5 Full Days With Extended Day (3pm to 6pm)
4 Yr Old - 5 1/2 Days
4 Yr Old - 3 Full Days (Tuesdays, Wednesdays and Thursdays)
Pre K / VPK (4 yrs on or before Sept 1) - 5 Full Days With Certificate
Pre K / VPK (4 yrs on or before Sept 1) - 5 1/2 Days With Certificate
Student Full Name
*
First Name
Last Name
Student Nick Name:
*
Date of Birth
*
-
Month
-
Day
Year
Date
Male / Female
*
Female
Male
Student Ethnic Background (optional)
American Indian / Native American
African American /
Asian
Hispanic / Latino
Multi Racial
Pacific Islander
White / Caucasian
Student Resides with:
*
Both Parents / Guardians
Mom / Guardian
Dad / Guardian
Previous Pre School
*
Student Primary Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student Secondary Address - If Applicable
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent / Guardian Information
Parent / Guardian 1
*
First Name
Last Name
Parent /Guardian 1 Email Address
*
example@example.com
Parent / Guardian 1 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent / Guardian 2
*
First Name
Last Name
Parent /Guardian 2 Email Address
*
example@example.com
Parent / Guardian 2 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please list any siblings in the home and if they attend Holy Family Catholic School
*
Is there a second language spoken in the household? If "yes" please specify
*
Sacramental and Parish Information
Student Baptized? Please select one:
*
Please Select
Yes
No
Student Baptized when?
*
-
Month
-
Day
Year
Date
Student was Baptized Where? Please list Church and address
*
Please select all that apply:
*
We are registered, contributing members of Holy Family Parish
We are registered members of another Catholic Church
We are Catholic and would like to join Holy Family Parish
We are not Catholic, but would like some information about joining the Catholic faith.
We are Not Catholic
Tuition Payment Options: Please select one: FACTS charges a yearly fee ($46)
*
Payment Plan through FACTS: 10 Month Plan July - April
Payment Plan Through FACTS: Pay in Full in August (Receive a 3% Discount)
Payment Plan Through FACTS: Two Payment Plan 1st Payment Due by August 10th / 2nd Payment Due by January 10th
Please indicate if a particular school or family recommended you to Holy Family Early Childhood
*
Please use this space for anything else you would us to know.
Application Fee
*
Categories:
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Application Fee
$
50.00
Quantity
1
2
3
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5
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10
Credit Card
All the information contained on this application is correct and true. I understand that any omission, untruth, or any misrepresentation of the facts can be sufficient reason for denying acceptance and / or dismissal from the school.
Application Fee (non-refundable):
$50 per student to be included with this application form.
This registration is not a guarantee that your child(ren) will be accepted by Holy Family Early Childhood Center for the coming school year. It represents your request that HFECC accepts your child(ren) for enrollment during the coming year. HFECC reserves the right to decline enrollment.
Once your child's application has been accepted, you will have 2 weeks to submit the registration fee of $325
An incomplete application will not be accepted, please make sure all areas are filled in.
Please include a required copy of the Child’s Birth Certificate and Certificate of Baptism (if applicable)
Mothers / Guardian Signature
*
Fathers / Guardian Signature
*
Thank You - Submit
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