By clicking on this link you can open the registration form in a Word document, which will open in a seperate window for printing.
For those who do not have Microsoft Word, by clicking on the little gray printer icon you can open the registration form below in a seperate window. To print, simply click the right mouse button on the new window and select print.
For those who do not have Microsoft Word, by clicking on the little gray printer icon you can open the registration form below in a seperate window. To print, simply click the right mouse button on the new window and select print.
|
|
|
|
Registration Fee: $100.00 OUR LADY OF FATIMA SCHOOL Benton, Arkansas REGISTRATION FORM FOR NEW STUDENTS Date: ____________________ Student's Name: _______________________________________________________________ LAST FIRST MIDDLE DateofBirth:_____________Birthplace:___________________________________________ (City, State) Gender: __________ Race: ____________ Age: ____________ Grade: ___ Home Address: ________________________________________________________________________ CITY ZIP CODE Telephone: _________________________ Social Security #: _________________________ Mother's Name:___________________________________________________________________ (maiden) Birthplace: _______________________________ Religion: ____________________________ Father's Name: ________________________________________________________________________ Birthplace: _______________________________ Religion: ____________________________ Legal Guardian: _______________________________________________________________________ Child's Baptism Date: ___________ Church:____________________________ City: ________________ First Reconciliation: ____________ Church: ______________________ ______City: _______________ First Eucharist: _________________Church: ____________________________ City: _______________ School Entered From: _______________________________________ Date: __________ Grade:___ Reason for entering this school: ___________________________________________________________________________________ ___________________________________________________________________________________ Parent Signature: _________________________________________________________ This form must be accompanied by proof of Immunizations, Birth Certificate (with state number), and Baptismal Certificate (if Catholic).
|