RE-REGISTRATION FORM 2017-2018

ST. MARY’S SCHOOL

To help with planning please have re-registration forms back as soon possible –no later than June 5, 2017

A.  Information on the student:

Child’s Full Name M___ F__ last first middle

Home Address

number and street city state zip

Grade Entering: Date of Birth: Religion______Church______

Due to statistical reports/forms the school needs to respond to yearly, the following question is asked about your child’s ethnic/race: choose all that apply to your child:

______Hispanic ______Asian ______Black or African American ______American Indian or Alaska Native

Tribe child is enrolled:______

______White ______Pacific Islander ______other ______prefer not to respond

B.  Information on the parents:

Please check parent or parents with whom student lives and furnish entire names on all applicable spaces:

Father______Mother ______

Stepmother Stepfather______

Father’s phones (home) _____ Mother’s phones (home)______

(cell and/or work)______(cell and/or work) ______

Father e-mail: ______Mother e-mail______

Place of Employment ______Place of Employment ______

Job Title______Job Title______

Father’s religion of origin? ______Mother’s religion of origin? ______

Is he currently active in church? ______Is she currently active in church? ______

Which one? ______Which one? ______

If child does not live with both parents, please indicate:

a. Parent(s) with legal custody

b. Parent(s) that will assume financial responsibility

c. Parent(s) that will be responsible for conduct, studies, report cards and reporting absences ______

Lastly: We will be distributing a family directory for the 2016-2017 school year to all the families.

If you do not want your phone (cell or land), address and email listed please sign here.

____________

Regarding the use of your child’s photo (we never use full names nor grades) ---may the school, for advertising and/or public relations purposes, use your child’ photo:

_____ yes ______no in school brochures?

______yes ______no on the school’s website?

______yes ______no on the school’s FACEBOOK account

______yes ______no on video photography (commercials advertising the school)

AND:

______yes ______no Put your child’s picture (and full name and grade) in the school’s yearbook?

This book is distributed to all families.

______yes ______no Use copies of your child’s artwork for publication?

***Please know we do a DVD of the school’s two yearly concerts. These are for private use only.

School Clothing Order Information: Please order Wed. Mass Attire for your student(s) K-8 and you may order PE clothes for grades 6-8 from the following website: www.landsend.com/school and create an account. Our school preferred school number search is: 900165218 or call 1-800-469-2222.