Date of Last Upload:
Sunday, April 28, 2024
Student Enrollment Form
New Student Information
Select the Submit Application tab after you have filled in all information including students, primary and secondary family, and emergency/contacts. Use the tab buttons to select the pages to fill in the information.
*
Required fields are bold.
Student's Information
Primary Family Information
Secondary Family Information
Contact Information
Submit Application
Student 1
*
Last Name
*
First Name
Middle Name
Preferred Name
Date of Birth
Gender
<None>
Female
Male
*
Baptismal Parish
*
Baptismal Year
Church Affiliation
<None>
Cathedral
Holy Trinity
St. Joseph
*
Grade Level
<None>
K5
1
2
3
4
5
6
7
8
9
10
11
12
PRE-K
RCIC
homeschool
*
First Communion Parish
*
First Communion Year
E-Mail
*
Confirmation Parish
*
Confirmation Year
*
Allergies
Student 2
*
Last Name
*
First Name
Middle Name
Preferred Name
Date of Birth
Gender
<None>
Female
Male
*
Baptismal Parish
*
Baptismal Year
Church Affiliation
<None>
Cathedral
Holy Trinity
St. Joseph
*
Grade Level
<None>
K5
1
2
3
4
5
6
7
8
9
10
11
12
PRE-K
RCIC
homeschool
*
First Communion Parish
*
First Communion Year
E-Mail
*
Confirmation Parish
*
Confirmation Year
*
Allergies
Student 3
*
Last Name
*
First Name
Middle Name
Preferred Name
Date of Birth
Gender
<None>
Female
Male
*
Baptismal Parish
*
Baptismal Year
Church Affiliation
<None>
Cathedral
Holy Trinity
St. Joseph
*
Grade Level
<None>
K5
1
2
3
4
5
6
7
8
9
10
11
12
PRE-K
RCIC
homeschool
*
First Communion Parish
*
First Communion Year
E-Mail
*
Confirmation Parish
*
Confirmation Year
*
Allergies
Student 4
*
Last Name
*
First Name
Middle Name
Preferred Name
Date of Birth
Gender
<None>
Female
Male
*
Baptismal Parish
*
Baptismal Year
Church Affiliation
<None>
Cathedral
Holy Trinity
St. Joseph
*
Grade Level
<None>
K5
1
2
3
4
5
6
7
8
9
10
11
12
PRE-K
RCIC
homeschool
*
First Communion Parish
*
First Communion Year
E-Mail
*
Confirmation Parish
*
Confirmation Year
*
Allergies
Student 5
*
Last Name
*
First Name
Middle Name
Preferred Name
Date of Birth
Gender
<None>
Female
Male
*
Baptismal Parish
*
Baptismal Year
Church Affiliation
<None>
Cathedral
Holy Trinity
St. Joseph
*
Grade Level
<None>
K5
1
2
3
4
5
6
7
8
9
10
11
12
PRE-K
RCIC
homeschool
*
First Communion Parish
*
First Communion Year
E-Mail
*
Confirmation Parish
*
Confirmation Year
*
Allergies
Primary Family Information
Address Line 1
Address Line 2
City
State
ZIP Code
*
Home Phone
Home Listed
Parent 1 Information
*
Last Name
*
First Name
Middle Name
Preferred Name
Date of Birth
Marital Status
<None>
Divorced
Engaged
Married
Separated
Single
Widow
Widower
Suffix
<None>
III
Title
<None>
Dr.
Miss
Mr.
Mrs.
Ms.
Rev.
Church Affiliation
<None>
Cathedral
Holy Trinity
St. Joseph
Gender
<None>
Female
Male
Race
<None>
African American
Asian
Caucasian
Hispanic
Native American
*
E-Mail
*
Mobile Phone
Mobile Listed
Company Name
Business Phone
Extension
Job Title
Is Emergency Contact
Business E-Mail
Is Allowed to Pickup
Parent 2 Information
*
Last Name
*
First Name
Middle Name
Preferred Name
Date of Birth
Marital Status
<None>
Divorced
Engaged
Married
Separated
Single
Widow
Widower
Suffix
<None>
III
Title
<None>
Dr.
Miss
Mr.
Mrs.
Ms.
Rev.
Church Affiliation
<None>
Cathedral
Holy Trinity
St. Joseph
Gender
<None>
Female
Male
Race
<None>
African American
Asian
Caucasian
Hispanic
Native American
*
E-Mail
*
Mobile Phone
Mobile Listed
Company Name
Business Phone
Extension
Job Title
Is Emergency Contact
Business E-Mail
Is Allowed to Pickup
Secondary Family Information
Address Line 1
Address Line 2
City
State
ZIP Code
*
Home Phone
Home Listed
Parent 3 Information
*
Last Name
*
First Name
Middle Name
Preferred Name
Date of Birth
Marital Status
<None>
Divorced
Engaged
Married
Separated
Single
Widow
Widower
Suffix
<None>
III
Title
<None>
Dr.
Miss
Mr.
Mrs.
Ms.
Rev.
Church Affiliation
<None>
Cathedral
Holy Trinity
St. Joseph
Gender
<None>
Female
Male
Race
<None>
African American
Asian
Caucasian
Hispanic
Native American
*
E-Mail
*
Mobile Phone
Mobile Listed
Company Name
Business Phone
Extension
Job Title
Is Emergency Contact
Business E-Mail
Is Allowed to Pickup
Parent 4 Information
*
Last Name
*
First Name
Middle Name
Preferred Name
Date of Birth
Marital Status
<None>
Divorced
Engaged
Married
Separated
Single
Widow
Widower
Suffix
<None>
III
Title
<None>
Dr.
Miss
Mr.
Mrs.
Ms.
Rev.
Church Affiliation
<None>
Cathedral
Holy Trinity
St. Joseph
Gender
<None>
Female
Male
Race
<None>
African American
Asian
Caucasian
Hispanic
Native American
*
E-Mail
*
Mobile Phone
Mobile Listed
Company Name
Business Phone
Extension
Job Title
Is Emergency Contact
Business E-Mail
Is Allowed to Pickup
Contact Information (Other than parents)
Contact 1
*
Last Name
*
First Name
Relation
<None>
Aunt
Friend
Grandparent
Spouse
Brother
Father
Mother
Uncle
Sister
StepDad
Is Emergency Contact
Home Phone
Is Allowed to Pickup
Business Phone
Pickup License
*
Mobile Phone
Pickup Tag
Pickup Notes
Contact 2
*
Last Name
*
First Name
Relation
<None>
Aunt
Friend
Grandparent
Spouse
Brother
Father
Mother
Uncle
Sister
StepDad
Is Emergency Contact
Home Phone
Is Allowed to Pickup
Business Phone
Pickup License
*
Mobile Phone
Pickup Tag
Pickup Notes
Contact 3
*
Last Name
*
First Name
Relation
<None>
Aunt
Friend
Grandparent
Spouse
Brother
Father
Mother
Uncle
Sister
StepDad
Is Emergency Contact
Home Phone
Is Allowed to Pickup
Business Phone
Pickup License
*
Mobile Phone
Pickup Tag
Pickup Notes
Medical Contacts
Physician
Physician Phone Number
Dentist
Dentist Phone Number
Hospital
Hospital Phone Number
Insurance
Insurance Phone Number
Policy Number
Finished
Confirmation E-Mail address:
Please press the save button to submit the new student application.