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 currently enrolled?*

Yes
No

Current Class

Is your child the sibling of an enrolled child?*

Yes
No

Which class is your child registering for?*

New Student

Price: $165.00

Returning Student

Price: $75.00

New 2nd Student

Price: $100.00

Second Child Information

Child's Name

First Last

Boy or Girl?

Boy
Girl

Birthdate

MM

DD

YYYY

Is your child currently enrolled?

Yes
No

Current Class

Is your child the sibling of an enrolled child?

Yes
No

Which class is your child registering for?

2nd Child

Price: $100.00

2nd Returning Child

Price: $75.00

Extended Care Services

Will you need extended care services?*

Yes
No

If yes, please tell us what hours you will need care for

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

Yes
No

Total

$0.00

Register for the
2018-2019 School Year

Early Childhood Learning Registration Form

Child Information

Second Child Information

Extended Care Services

Register for the 2018-2019 School Year

Early Childhood Learning Registration Form

Child Information

Second Child Information

Extended Care Services

Register for the
2018-2019 School Year