Application Form 2020-2021 School Year

Applications submitted after March 1, 2020 have a $45 fee.

1Child #1 > 2Child #2 > 3Child #3 > 4Child #4 > 5Child #5 > 6Payment
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Family Name
Student Address Student Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Father's Name Father's Name First Last
Father's Place of Birth
Father's Religion
Father's Home Church
Father's Occupation
Father's Work Phone Father's Work Phone - ### - ### ####
Father's Cell Phone Father's Cell Phone - ### - ### ####
Father's Email
Mother's First and Maiden Name Mother's First and Maiden Name First Last
Mother's Place of Birth
Mother's Religion
Mother's Home Church
Mother's Occupation
Mother's Work Phone Mother's Work Phone - ### - ### ####
Mother's Cell Phone Mother's Cell Phone - ### - ### ####
Mother's Email
Please check if:

Please check if: Divorced Separated
Who has legal custody?
With whom do the applicant(s) live?
Do you currently have any other children enrolled at SPCS?

Do you currently have any other children enrolled at SPCS? Yes No
If a current SPCS family referred you to our school, please enter their name:
Child #1 Information
Child #1 Name Child #1 Name First Middle Last
Name Child #1 Goes By
Grade for Child #1 for the 2020-2021 School Year
Child #1 Sex

Child #1 Sex Male Female
Child #1 Date of Birth Child #1 Date of Birth / MM / DD YYYY
Child #1 Place of Birth
Child #1 School Last Attended
Does Child #1 have a diagnosed learning style difference (ADD/ADHD/Other)?

Does Child #1 have a diagnosed learning style difference (ADD/ADHD/Other)? Yes (please submit a copy of psycho-educational report to front office) No
If Child #1 currently takes medication for ADD, ADHD or another diagnosed learning style difference, please list below:
Do you have a second child to enter?

Application Form 2020-2021 School Year

Application Form 2020-2021 School Year

$0

Total

Child #1 Information

$`0`