Grade Entering: ---PK3PK4KindergartenFirstSecondThirdFourthFifthSixthSeventhEighth
Date of Birth:
Birth City and State:
Parish City and State:
Date of Baptism:
Parent / Guardian Information
Relation to Child:
Spouse Full Name:
Spouse Cell Phone:
Did either graduate from one of our legacy schools? If so, who?
Parent / GaurdianSpouse
What school did the above graduate?
Parent / Gaurdian: ---Holy RosaryOur Lady of GraceSt. GregorySt. LawrenceSt. Luke
Spouse: ---Holy RosaryOur Lady of GraceSt. GregorySt. LawrenceSt. Luke
What year did the above graduate?
Parent / Gaurdian:
Sibling Last Name:
Sibling First Name:
Sibling Middle Initial:
Current School if not St. John Paul II Regional School:
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