St. Josephs School of All Saints Parish
2008-2009 School Year
Website: www.sjshav.com
Date: Full: Half: # of Days:
Nursery: Pre-Kdg. 2:
3 yrs. of age by August 31, 2008 4 yrs. of age by August 31, 2008
___Monday ___ Tuesday ___Wednesday ___Thursday ___Friday
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 Age
Date of Baptism 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: (circle) Mother Father Both Other:
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)
Signature of Parent or Guardian Date
How did you hear about us? Newspaper: Bulletin: Friend: Other:
Are you a graduate of St. Joseph School: Yes: No: Year: