St. Joseph School of All Saints Parish

New Students Grades 1-8 Registration

2008-2009 School Year

Website: www.sjshav.com

Date:                                                              Grade:                                             

Child’s Last Name                        Child’s First Name                                                     Middle Initial

Address                                          City                                                  St.                          Zip Code

Home Telephone Number                                                      E-Mail Address

Family Last Name if different from child’s:                                                                                                       

Date of Birth                                                    Place of Birth

Date of Baptism                                               Church                               City                      State

Date of First Communion                                  Church                               City                      State

Father’s Name                                        Birthplace                                                     Occupation

Mother’s Maiden Name                           Birthplace                                                     Occupation

(Please include first name)

Religion of Parents:                                                                                                                                          

                                                        Mother                                                           Father

Guardian of Child:                                                                                                                                           

Person Responsible for paying tuition bill:                                                                                                         

Social Security Number:                                                                                                                                  

Are you a contributing member of All Saints Parish?                       Yes                     No

Registration Fee:             $60.00 per family (non-refundable)

Book Fee:                       $85.00 per child (non-refundable after June 30th)

Computer Lab Fee:          $35.00 per child

Signature of Parent or Guardian                                                   Date