SJPII Registration Form

Student Information

Student 1 Name *

Do you wish to register this student? *

Yes, I wish to register this student

No

Student Current School & School District

Student Gender *

Male

Female

Student Date of Birth *

Grade Student is Entering: *

Student Birth City & State *

Does this student have any siblings?

Instructions for 3 or More Siblings

If you are registering 3 or more total children, please fill out an additional registration form for those students.

If the student(s) you are registering today have additional siblings that you are not registering with us at this time, please contact us separately so that we may update our records.

Sibling 1

Sibling 1 Name

Do you wish to register Sibling 1?

Yes, I wish to register Sibling 1

No

Sibling 1 Current School & School District if not Saint John Paul II Regional School

Sibling 1 Gender

Male

Female

Sibling 1 Date of Birth

Grade Sibling 1 is Entering:

Sibling 1 Birth City & State

Sibling 2

Sibling 2 Name

Do you wish to register Sibling 2?

Yes, I wish to register Sibling 2

No

Sibling 2 Current School & School District if not Saint John Paul II Regional School

Sibling 2 Gender

Male

Female

Sibling 2 Date of Birth

Grade Sibling 2 is Entering:

Sibling 2 Birth City & State

Student(s) Personal Information

Religion *

Please let us know what religion you practice. If the children are Catholic, please include your current Parish, city and state. For each child, please list their Baptism date and the Parish (city and state) where they were baptized at.

Student(s) Address *

Country

City

State

Zip code

Home Phone *

Student(s) Ethnic Origin

Parent/Guardian Information

Parent/Guardian Name *

Parent/Guardian DOB *

Relation to the Student *

Alumni

Parent/Guardian Gender *

Male

Female

Parent/Guardian Maiden Name

Parent/Guardian Home Address *

Country

City

State

Zip code

Is this the same address as the student(s) you are registering today? *

Yes

No

Religion (If Catholic, please include Parish City & State) *

Parent/Guardian Cell Phone *

Parent/Guardian Email *

Employer Name, Phone Number and Occupation *

Marital Status *

Spouse/Domestic Partner Information

Relation to the Student

Does this Spouse/Domestic Partner have legal custody of the children you are registering today?

Yes

No

Spouse/Domestic Partner Name

Spouse/Domestic Partner Gender

Male

Female

Spouse/Domestic Partner Maiden Name

Phone

Email

Alumni

Employer Name, Phone Number and Occupation

Religion (If Catholic, please include Parish City & State)

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Please complete and submit the form. If you have any questions, please do not hesitate to reach out and contact us!