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St. Mary's School New Student Kindergarten-6th

- About

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- Student Information / Información del estudiante
- Student First Name / Nombre del estudiante REQUIRED Please fill out this field. Please enter valid data.
- Student Last Name / Apellido del estudiante REQUIRED Please fill out this field. Please enter valid data.
- Student Address / Dirección del estudiante REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Grade Entering / Ingreso de grado REQUIRED Please fill out this field.
- Male or Female / Masculino o femenino REQUIRED Male / Masculino Female / Femenino Please fill out this field.
- Date of Birth / Fecha de nacimiento REQUIRED Please fill out this field. Please enter a date.
- Place of Birth / Lugar de nacimiento REQUIRED Please fill out this field. Please enter valid data.
- Ethnic Group / Grupo etnico White Black or African American Asian Other
- Family Information / Información familiar
- Mother First and Last Name / Nombre y apellido de la madre REQUIRED Please fill out this field. Please enter valid data.
- Mother's Address / Dirección de la madre REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Mother Phone Number / Número de teléfono de la madre REQUIRED Please fill out this field. Please enter valid data.
- Mother's Email Address / Dirección de correo electrónico de la madre REQUIRED Please fill out this field. Please enter valid data.
- Father's First and Last Name / Nombre y apellido de la padre REQUIRED Please fill out this field. Please enter valid data.
- Father Address / padres Dirección de REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Father's Phone Number / Número de teléfono de la padre REQUIRED Please fill out this field. Please enter valid data.
- Father's Email Address / Dirección de correo electrónico de la padre Please enter valid data.
- Names, Date of Birth, and Ages, of other children in Family / Nombres, fecha de nacimiento y edades de otros niños en la familia REQUIRED Please fill out this field.
- Parish Member? / miembro de la parroquia? REQUIRED Please fill out this field.
- Have any children in your family attended St. Mary's in the past? / ¿Algún hijo de su familia ha asistido a St. Mary's en el pasado? / REQUIRED Please fill out this field.
- I need written translations. Necesito traducciones escritas. REQUIRED Please fill out this field.
- I need an interpreter. I need written translations. Necesito traducciones escritas. REQUIRED Please fill out this field.
- Medical Information / Información médica
- Allergies (Please List): / Alergias (por favor enumere):
- Medical Concerns; (Asthma, seizures, heart, etc.) / preocupaciones médicas; (Asma, convulsiones, corazón, etc.) /
- Emergency Contacts / Contactos de emergencia
  
  Please list someone other than youself.
  Indique a alguien que no sea usted mismo.
- First & Last Name / Primer apellido REQUIRED Please fill out this field. Please enter valid data.
- Phone Number / Número de teléfono REQUIRED Please fill out this field. Please enter valid data.
- First & Last Name / Primer apellido REQUIRED Please fill out this field. Please enter valid data.
- Phone Number / Número de teléfono REQUIRED Please fill out this field. Please enter valid data.
- Is there any other information you would like to share with us about your child? / ¿Hay alguna otra información que le gustaría compartir con nosotros sobre su hijo?
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