Register

Parent's Names*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone

Email*

Religion*

Catholic
Non-Catholic

Parish*

How many children are you registering?*

One Child
Two Children

Child Information

Child's Name*

First Last

Boy or Girl*

Boy
Girl

Birthdate

MM

DD

YYYY

Is your child the sibling of an enrolled or previously enrolled child at St. Timothy ECLC?*

Yes
No

Which class is your child registering for?*

New Student

Price: $160.00

New Sibling Student

Price: $100.00

Second Child Information

Child's Name

First Last

Boy or Girl?

Boy
Girl

Birthdate

MM

DD

YYYY

Is your child the sibling of an enrolled child?

Yes
No

Which class is your child registering for?

2nd Child enrolled at St. Timothy ECLC

Price: $100.00

Do you have a child enrolled in Mother Teresa Catholic School?

Yes
No

Total

$0.00

Registration for the 2021/2022 school year will begin on January 19, 2021

Application for Registration Form 2021

Child Information

Second Child Information