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Student's Full Name

Date of Birth

Age

Sex

Female

Male

Gender

Home Address

City

Zip Code

Home/Cell Phone

Student Email Address

Current Church/Parish

Baptized?

Church/Parish of Baptism

First Holy Communion (date and church)

Student is enrolling into:

Parent 1 - Full Name

Parent 1 - Religion

Parent 1 - Contact (Cell/Email)

Parent 2 - Full Name

Parent 2 - Religion

Parent 2 - Contact (Cell/Email)

Medical Emergency Info (allergies or problems)

Specific Medical Details

Emergency Contact -Name and Phone

Authorized Persons to Pick Up Student

Physical or Mental Limitations

Parent Agreement

Student Agreement

Photo and Video Release Authorization

Parent Agreement - Date

Student Agreement - Date

I have completed the 2026-2027 Release form

A Release Form must be submitted to finalize registration. Please click the button below to complete the form.