Registration Form


Student Information

Grade Entering:

Last Name:

First Name:

Middle Initial:


Address:

City:

State:

Zip Code:


Home Phone:

Email Address:

Gender:

Ethnic Origin:

Date of Birth:

Birth City and State:

Religion:

Parish:

Parish City and State:

Current School:

School District:




If Catholic,

Date of Baptism:

Baptism Parish:




Parent / Guardian Information

Full name:

Relation to Child:

Gender:

Date of Birth:

Marital Status:

Cell Phone:

Email:

Employer's Name:

Employer's Phone:

Position:




Spouse Full Name:

Maiden Name:

Date of Birth:

Spouse Cell Phone:

Spouse Email:

Employer's Name:

Employer's Phone:

Position:

Religion:

Parish:

Did either graduate from one of our legacy schools? If so, who?
Parent / GaurdianSpouse

What school did the above graduate?
Parent / Gaurdian:
Spouse:

What year did the above graduate?
Parent / Gaurdian:

Spouse:



Sibling Information

Sibling Last Name:

Sibling First Name:

Sibling Middle Initial:

Gender:

Date of Birth:

Grade:

Current School if not St. John Paul II Regional School:



Sibling Last Name:

Sibling First Name:

Sibling Middle Initial:

Gender:

Date of Birth:

Grade:

Current School if not St. John Paul II Regional School:



Sibling Last Name:

Sibling First Name:

Sibling Middle Initial:

Gender:

Date of Birth:

Grade:

Current School if not St. John Paul II Regional School:


Upon submission of this form you will be redirected to Paypal. A non-refundable Registration Fee per child of $100.00 is required to for registration.