*New Student Application

Grade Entering (2025-2026)

Student Name

First NameMiddle NameLast NameSuffix

Student’s Middle Name*

Student’s Last Name*

Address*

Address

Street Address Line 2

City, State, ZipState

Zip Code

Date of Birth*

Date

Age*

Gender*

Birthplace*

Religion*

Church (indicate City/State)*

Ethnicity*

Other (please list below)

Parent/Guardian Information*

Parent/ Guardian Name 1*

Parent/Guardian 1 Address*

Home Address

Street Address Line 2

City/State/ZIPState

Zip Code

Parent/Guardian 1 Cell Phone*

Parent/Guardian 1 Home Phone*

Parent/Guardian 1 Email*

example@example.com

Parent/Guardian 1 Employer*

Parent/Guardian Job Title*

Parent/Guardian 1 Religion/Church Affiliation*

Parent/Guardian Information 2

Parent/Guardian 2 Name

Parent/Guardian 2 Address

Home Address

Street Address Line 2

City/State/ZIPState

Zip Code

Parent/Guardian 2 Cell Phone

Parent/Guardian 2 Home Phone

Parent/Guardian 2 Email

example@example.com

Parent/Guardian 2 Employer

Parent/Guardian 2 Job Title

Parent/Guardian 2 Religion/Church Affiliation

If applicable, please provide additional parent/guardian information:

Name

Home Phone

Cell Phone

Email

example@example.com

Name

Cell Phone

Home Phone

Email

example@example.com

Sibling

NameGrade

Sibling

NameGrade

Sibling

NameGrade

Sibling

NameGrade

Is the applicant ineligible to return to any previously attended school(s)?*

YesNo

Have the applicant’s absences and/or tardies exceeded school attendance policies?*

YesNo

Has the applicant ever skipped a grade?*

YesNo

Has the applicant ever repeated a grade?*

YesNo

Has the student ever had any disciplinary difficulty in school? If Yes, please explain:*

YesNo

If Yes, please explain

Has the applicant ever been suspended, expelled, or asked to leave any school? If Yes, please explain:*

YesNo

If Yes, please explain

Has the applicant ever been placed on academic probation? If Yes, please explain:*

YesNo

If Yes, please explain

Does the applicant have any physical, mental, or emotional conditions which may affect his/her activities or academic progress? If Yes, please explain:*

YesNo

If Yes, please explain

Does the applicant require any special curricular or classroom modifications? If Yes, please explain:*

YesNo

If Yes, please explain

Check Any Support Services the Applicant Currently Receives:

Important Health Information. Please explain in full.

Enrollment Agreement

Fulfilling St. Mary’s School’s mission is not possible without the cooperation of parents. Upon enrollment, parents and students consent to be governed by the policies and rules set forth in the enrollment agreement and student/parent handbook.

The policies and rules of St. Mary’s School are subject to change as deemed appropriate by the administration. The administration is the sole authority for the interpretation of policies and rules.

The education of a student is a partnership between the parents and the school. As a parent has the right to withdraw a child if desired, St. Mary’s School reserves the right to require the withdrawal of a student if the administration determines the partnership is irretrievably broken.

St. Mary’s School - Waiting List

In the event that enrollment for a specific class is full, a waiting list will be established.
Waiting list priority will be established based on a number of considerations, including but not limited to the following:
- Registered members/families of St. Mary’s Parish, St. Thomas Parish, or St. Gall’s Parish with a sibling already enrolled in the school.
- Registered members/families of St. Mary’s Parish, St. Thomas Parish, or St. Gall’s Parish who do not have any children enrolled in the school
- Families who have a sibling already enrolled in K-8 at the school
- Unregistered members/families of St. Mary’s Parish, St. Thomas Parish, or St. Gall’s Parish who agree to register with our parishes
- Other applicants not in the above categories

I/We understand that while my/our student is attending St. Mary’s Catholic School, we will promote and encourage academic excellence, observance of all school policies and procedures, and will maintain a respectful and cooperative attitude with the faculty, administration, and other parents. St. Mary’s Catholic School reserves the right to terminate this enrollment agreement during the term of the agreement according to the enrollment policy above.

Parent Signature 1*

Date*

Date

Parent Signature 2

Date

St. Mary’s Catholic School

Student Information

Parent/Guardian 1 Information

Parent/Guardian Information 2

Sibling Information

Student Background

Enrollment Agreement