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*

Answer Required

Child First Name*

Answer Required

Child Middle Name

Answer Required

Name his/her classmates and teacher to use: *

Answer Required

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Home Phone*

Number Required

Child Date of Birth*

Answer Required

Place of Birth (City, State, Country)*

Answer Required

Child Gender*

Answer Required

Male

Female

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

Answer Required

Yes

Child Race (for Archdiocesan reporting purposes only)*

Answer Required

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:

Answer Required

Is the child baptized? *

Answer Required

Yes

Baptism Date

Answer Required

Baptism Church (Including City & State)

Answer Required

Baptized Religion

Answer Required

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

Answer Required

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

Answer Required

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*

Answer Required

Address (if different from above)

Answer Required

Parent #1 Phone Number*

Number Required

Parent #1 Email*

Answer Required

Parent #1 Birthplace*

Answer Required

Parent #1 Religion *

Answer Required

Parent #1 Place of Employment*

Answer Required

Parent #1 Occupation *

Answer Required

Parent #2 First Name

Answer Required

Parent #2 Last Name

Answer Required

Address (if different from above)

Answer Required

Parent #2 Phone Number

Answer Required

Parent #2 Email

Answer Required

Parent #2 Birthplace

Answer Required

Parent #2 Religion

Answer Required

Parent #2 Place of Employment

Answer Required

Parent #2 Occupation

Answer Required

Are the child's parents:

Answer Required

Married

Separated

Divorced

Mother Remarried

Father Remarried

Mother Deceased

Father Deceased

Other:

If Other, please explain:

Answer Required

Does the child live with Parent(s)?*

Answer Required

Yes

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

Answer Required

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

Answer Required

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

Answer Required

Language(s) spoken at home:

Answer Required

Health Record

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

Answer Required

Yes

If Yes, please describe:

Answer Required

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

Answer Required

Yes

If Yes, please describe:

Answer Required

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?

Answer Required

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 [email protected].

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).

Answer Required

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 [email protected] with any questions. Thank you!

Please fix the highlighted areas below before submitting.

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