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ST. MARY CATHOLIC SCHOOL
1612 E. WALKER    LEAGUE CITY,  TEXAS  77573       281-332-4014
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REGISTRATION FORM
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Please Print or Type
Applying for:  Preschool  ___AM    ___PM
                                       ___2 Days___3 Days ___5 Days
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                    Kindergarten ___AM   ___PM
                    Elementary  ___1st     ___2nd     ___3rd     ___4th    ___5th
                    Middle        ___6th    ___7th      ___ 8thÂ
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Date ________________
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Student Name:
Last__________________ First_________________ Middle_____________
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Age____ Date of Birth__________ Place of Birth_______________________
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Social Security #__ __ __ - __ __- __ __ __ __
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Address_______________________________
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City____________________________ Zip_________________
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Phone (include area code)___________________________
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Subdivision_________________________
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Ethnic Background:
___American Indian             ___Asian                       ___Hispanic        Â
___Black non-Hispanic        ___Anglo non-Hispanic   ___Other
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Religious Preference_____________________ Parish___________________
Parishioners of St. Mary Church, Envelope Number ____________________
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Non-Catholic students are welcomed at St. Mary School but must understand that all students will attend the religious activities that are held during the school day.
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Parents:
Father/Guardian________________________Religion__________________________
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Occupation_____________________ Place of employment_______________________
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Work Phone________________________Â Â Cellular Phone_______________________
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Email address ________________________________________
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Mother/Guardian_______________________ Religion__________________________
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Occupation_____________________ Place of employment_______________________
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Phone__________________________ Cellular Phone___________________________
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Email address __________________________________________
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Child lives with_____________________________
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Public school child would attend if not at St. Mary School_______________
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Student Information:Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â
Baptism:Â Â Â Â Â Â Â Â Â Â Â Â Â
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Church_____________________________________________________
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Date_______________________________________________________
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City/ State__________________________________________________
Communion:
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Church_____________________________________________________
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Date_______________________________________________________
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City/ State__________________________________________________
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Referred to St. Mary School by___________________________________
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All new students are admitted on a Trial Basis.
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All students are admitted to our program based on complete and accurate reporting of records.  St. Mary School reserves the right to select students whose needs we can accommodate.
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All fees are due on the first of each month or a late fee will be assessed.
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Tuition credit will be given for families who refer someone to St. Mary School.  One month’s free tuition will be given for each new family that is referred by you to St. Mary School.  The family referred must be in attendance for you to receive the tuition credit.
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                                                                  Office use only
                                                                  RF____Class_____
                                                                  C NC P NP
Web site:Â Â Â Â Â Â Â Â Â www.stmarycatholicschool.com

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