Register Registration for the 2022/2023 school year will begin on January 19, 2022 "*" indicates required fields Parent's Names* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneCell PhoneEmail* Religion* Catholic Non-Catholic Parish* How many children are you registering?* One Child Two Children Child InformationChild's Name* First Last Birthdate Month Day Year Boy or Girl* Boy Girl 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?* EC3, 5 Day Class (7:30-1:00) EC3, 5 Day Class (8:30-12:15) EC3, 3 Day Class MWF (8:30-12:15) EC3, 2 Day Class TTh (8:30-12:15) Application Fee Price: Application Fee Price: $0.00 Quantity: Second Child InformationChild's Name First Last Birthdate Month Day Year Boy or Girl? Boy Girl Is your child the sibling of an enrolled child? Yes No Which class is your child registering for? EC3, 5 Day Class (7:30-1:00) EC3, 5 Day Class (8:30-12:15) EC3, 3 day MWF (8:30-12:15) EC3, 2 day TTh (8:30-12:15) PK4 (7:30-3:30) PK4 (8:30-2:30) PK4 (8:00-12:15) 2nd Child enrolled at St. Timothy ECLC Price: Do you have a child enrolled in Mother Teresa Catholic School? Yes No Total NameThis field is for validation purposes and should be left unchanged.