New Student Registration Form

New Student Registration Form

Standard online student registration form based on the attached STC registration PDF. All fields are optional unless marked required. Do not preserve the PDF layout.
Child & Enrollment Details
Child’s Name

First NameLast Name
Date of Application

MonthDayYear
Date
Desired Start Date

MonthDayYear
Date
Child’s Birthdate

MonthDayYear
Date
Parishioner of STC
Name of Parish if not STC
Will you be transferring to STC Parish?
Registering For
Schedule
Child Profile & Health
Child’s Full Name

First NameMiddle NameLast Name
Gender
Child Ethnicity
Child Religion
Medical special needs or allergies in group care?
Explanation of medical needs/allergies (required if you answered yes above)
Requires accommodations (health/physical/social/cognitive/behavioral)?
Child resides with

Other
Child Custody Agreement

Cancelof
Family Information
Family Last Name
Family Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
City
County
State
Zip Code
Cell/Home Phone
Please enter a valid phone number where you can be reached during the day.Format: (000) 000-0000.
Family Email
example@example.com
School District in which the family resides
Marital Status
Parent/Legal Guardian #1
Parent/Legal Guardian #1 Name

First NameMiddle NameLast Name
Parent/Guardian #1 Religion
Parent/Guardian #1 Ethnicity
Parent/Guardian #1 Occupation
Parent/Guardian #1 Employer
Billing Email (Parent)
example@example.com
Parent/Guardian #1 Work Telephone
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian #1 Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Legal Guardian #2
Parent/Legal Guardian #2 Name

First NameLast Name
Parent/Guardian #2 Religion
Parent/Guardian #2 Ethnicity
Parent/Guardian #2 Occupation
Parent/Guardian #2 Employer
Parent/Guardian #2 Work Telephone
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian #2 Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Office Use Only
Complete
Should be Empty:

New Student Registration Form

Child & Enrollment Details

Child Profile & Health

Family Information

Parent/Legal Guardian #1

Parent/Legal Guardian #2

Office Use Only