St. Jude Catholic School Application for Enrollment

APPLICATION FOR ADMISSION
Parent/Guardian #1 Full Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Marital Status
Parent/Guardian #2 Full Name

First NameLast Name
Phone number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Home Address (if different from Parent 1)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Requesting enrollment for
Student 1 Name

First NameLast Name
Student Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Grade Applying For
Students apply for a our 3YO or 4YO preschool programs must turn 3 or 4 by September 1 to enroll, and must be potty trained. Kindergaren students must be 5 by 9/1 to enroll.
Gender
If requesting mid-year enrollment, desired month of enrollment:
Grade school last attended/currently enrolled in, if applicable
If your child is currently attending another school, please share your reasons for applying to St. Jude:
Has your child been diagnosed with a disability or ever received special education, Title 1 or 504 services?
If yes, please describe the diagnosis/services rendered, and service provider:
If registering a preschooler, do you plan to continue on at St. Jude for grade school?
Is there anything additional you wish to share regarding your child or your application for enrollment?
By signing here I certify that the information provided here is true and accurate. I understand that my student will not be enrolled until I receive notification of acceptance and fulfill the conditions outlined for admission in St. Jude's Admissions & Transfer Policy. No fees are due until a space is offered and accepted. A link to the Admissions and Transfer Policy will be shared once application is submitted.
Should be Empty:

APPLICATION FOR ADMISSION