New Student Registration 1st-8th Grades 2021-2022

Thank you for your interest in Sacred Heart School! To apply, please complete the form below and submit a copy of the child's birth certificate, baptismal certificate (if applicable), and registration deposit (per family). For multiple children, please complete a new form.

Application for enrollment in:

Answer Required

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

7th Grade

8th Grade

Child Last Name*

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Child First Name*

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Child Middle Name

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Name his/her classmates and teacher to use: *

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Street Address*

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City*

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Zip/Postal*

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Home Phone*

Number Required

Child Date of Birth*

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Place of Birth (City, State, Country)*

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Child Gender*

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Male

Female

Is the child Hispanic/Latino? (for Archdiocesan reporting purposes only)*

Answer Required

Yes

Child Race (for Archdiocesan reporting purposes only)*

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Child Social Security Number*

Answer Required

Is the child's family Catholic? *

Answer Required

Yes

Divine Mercy (Sacred Heart or St. Philip) parishioners? *

Answer Required

Yes

If you are parishioners at another Catholic church, please name the parish below:

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Is the child baptized? *

Answer Required

Yes

Baptism Date

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Baptism Church (Including City & State)

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Baptized Religion

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If the child is transferring from another school, please list the name of the school: *

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Please upload a signed copy of the Records Release Form. *

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Choose a file or drag it here.

Please click here for the Records Release Form.

Family Information

Parent #1 First Name*

Answer Required

Parent #1 Last Name*

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Address (if different from above)

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Parent #1 Phone Number*

Number Required

Parent #1 Email*

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Parent #1 Birthplace*

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Parent #1 Religion *

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Parent #1 Place of Employment*

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Parent #1 Occupation *

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Parent #2 First Name

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Parent #2 Last Name

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Address (if different from above)

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Parent #2 Phone Number

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Parent #2 Email

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Parent #2 Birthplace

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Parent #2 Religion

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Parent #2 Place of Employment

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Parent #2 Occupation

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Are the child's parents:

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Married

Separated

Divorced

Mother Remarried

Father Remarried

Mother Deceased

Father Deceased

Other:

If Other, please explain:

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Does the child live with Parent(s)?*

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Yes

If not, with whom? What is the relationship to the child?

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If the child's parents are separated or divorced, what are the custodial arrangements?

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Do any other adults live at the child's home?

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Language(s) spoken at home:

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Health Record

Does the child have any special needs of which we should be aware? *

Answer Required

Yes

If Yes, please describe:

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Does the child have any allergies or other special health needs: *

Answer Required

Yes

If Yes, please describe:

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Please note that a current Medical/Health history form will need to be submitted by September 1, 2021.

Personal

Does the child have any siblings?

Answer Required

Yes

If Yes, please list names and ages:

Answer Required

What is the child's birth order?

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Has the child repeated any grades or applying to repeat a grade at Sacred Heart School?

Answer Required

Yes

If Yes, please explain:

Answer Required

If the child has received any special services at school or outside of school, please explain here:

Answer Required

Does the child have a current Individualized Education Plan (IEP)? *

Answer Required

Yes

If Yes, please email a copy of the IEP to Principal Margaret Webb at mwebb@shwschool.org.

Does your child know anyone who will be in his/her grade at Sacred Heart School? *

Answer Required

Did you or any family members attend Sacred Heart School?

Answer Required

Yes

If Yes, please include names and years of attendance or graduation dates:

Answer Required

Please upload your child's birth certificate.*

Answer Required

Choose a file or drag it here.

Please upload your child's baptismal certificate (if applicable).

Answer Required

Choose a file or drag it here.

Please upload your child's First Communion certificate (if applicable).

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Choose a file or drag it here.

Please submit your family's registration deposit: *

Answer Required

$600.00 - New Families (one registration deposit per family)

$0.00 - I already paid the registration deposit when I completed a registration for another child

Please call the school office at (847) 446-0005 or email slanser@shwschool.org with any questions. Thank you!

Please fix the highlighted areas below before submitting.

New Student Registration 1st-8th Grades 2021-2022