New Student Registration 2022-2023

Thank you for your interest in Sacred Heart School! To apply, please complete the form below and submit a copy of your child's birth certificate, baptismal certificate (if applicable), records release form (if applicable), and registration deposit. This form must be completed for each new student.

Admissions decisions will be emailed to applicant families no later than two weeks after receipt of complete application materials.

Child's Last Name*

Answer Required

Child's First Name*

Answer Required

Child's Middle Name

Answer Required

Name to be used at school?*

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 & state reporting purposes only)*

Answer Required

Is your child's family Catholic? *

Answer Required

Yes

Are you registered members of Divine Mercy (Sacred Heart or St. Philip) Parish? Parishioners are active financial supporters of the parish. Divine Mercy Parish supports Sacred Heart School through an annual subsidy. *

Answer Required

Yes

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

Answer Required

Is your child baptized? *

Answer Required

Yes

Baptism Date

Answer Required

Baptism Church (Including City & State)

Answer Required

Baptized Religion

Answer Required

Family Information

Parent #1 Name (Last, First)*

Answer Required

Address (if different from above)

Answer Required

Parent #1 Phone Number*

Number Required

Parent #1 Email*

Answer Required

Parent #1 Religion *

Answer Required

Parent #1 Place of Employment*

Answer Required

Parent #1 Occupation *

Answer Required

Parent #1 Work Phone Number

Number Required

Parent #2 Name (Last, First)

Answer Required

Address (if different from above)

Answer Required

Parent #2 Phone Number

Answer Required

Parent #2 Email

Answer Required

Parent #2 Religion

Answer Required

Parent #2 Place of Employment

Answer Required

Parent #2 Occupation

Answer Required

Parent #2 Work Phone Number

Number Required

Parents are:

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 his/her 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 your child have any special needs of which we should be aware? *

Answer Required

Yes

If Yes, please describe:

Answer Required

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

Answer Required

Yes

If Yes, please describe:

Answer Required

Please note that a school physical form with immunization record will need to be submitted by September 15, 2022. EPI Pen / Medication Authorization Forms will need to be submitted BEFORE the first day of school.

Personal

Does your child have any siblings?

Answer Required

Yes

If Yes, please list names and ages:

Answer Required

What is your child's birth order? *

Answer Required

If your child is transferring from another school or program, please list the name of the school:

Answer Required

What is your child's designated public school? (For 1st-8th Grade applicants; for Archdiocesan and state reporting purposes only)

Answer Required

Has your child repeated any grades or are you applying for him/her to repeat a grade at Sacred Heart School?

Answer Required

Yes

If Yes, please explain:

Answer Required

If your child has received any special services at school or outside of school (e.g. Speech, O.T., or P.T,), please explain here:

Answer Required

Does your 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].

Please list anyone who may be in your child's grade at Sacred Heart School next year:

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 (only PDFs will be accepted - no photos, please)*

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.

For 1st-8th Grade applicants, please upload a signed Records Release Form, which can be found here.

Please upload your child's Records Release Form (1st-8th grade applicants only).

Answer Required

Choose a file or drag it here.

Please submit your family's registration deposit: *

Answer Required

$600.00 - New Student

$0.00 - I already paid the registration deposit when I completed the 2022-2023 Re-Registration Form for my other child(ren)

$0.00 - I already paid the registration deposit when I completed a New Student Application for another new student

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 2022-2023