2024-2025 St. Anne-Pacelli Catholic School Registration Form

Welcome to the Viking Family!

Student's Name Student's Name First Last
Grade Entering in 2024-2025
Parent/Guardian Name Parent/Guardian Name First Last
Primary Address for School Mailings Primary Address for School Mailings
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Primary Email Address
Primary Phone Primary Phone - ### - ### ####
Other email address to receive school communications
Other phone number to receive school communications Other phone number to receive school communications - ### - ### ####
Are there any special custody arrangements for this student?

Are there any special custody arrangements for this student? Yes No

If yes, please provide a copy of the legal agreement to the school.
Is the student Hispanic/Latino?

Is the student Hispanic/Latino? Yes No

If yes, please select White for race below.
Please indicate the race of the student (required for government reporting):

Please indicate the race of the student (required for government reporting): Asian African American/Black Multi-Racial Native American/Native Alaskan Native Hawaiian/Pacific Islander White
Please check all that apply

Please check all that apply Relative is St. Anne-Pacelli Graduate Parent is Military
If relative is St. Anne-Pacelli graduate, please share alumnus name, year graduated and relationship to student (ie. father, mother, grandparent, etc.)
If parent is military, please tell us if

If parent is military, please tell us if Active Duty Retired Reserves
To complete student files you will need to provide a copy of the child’s birth certificate, social security card, GA Form 3300 Eye, Ear, Dental & Nutrition, GA Form 3231 Immunization Record. Catholic students will also need to provide copies of certificates for any sacraments completed (Baptism, First Communion and Confirmation).

Final verification will be done online prior to the start of school. At that time you will enter emergency contacts, allergies and health conditions and other important information to populate our student information system.

For safety reasons, students may not start school until all documents are received for their files and final verification is complete.