2008 – 2009 ENROLLMENT FORM

Child’s Name                                                                                       

Last                                         First

Birth Date                                                         Sex                             

Class Choice                                                                                                                

Father’s Name                                                                                   

Mother’s Name                                                                                  

Home Address                                                                                   

Subdivision                                                                                         

Home Phone                                                                                        

Father’s Work or Cell Phone                                                              

Mother’s Work or Cell Phone                                                             

St. Mary’s Preschool is required to view your child’s original
Birth and Baptismal Certificates prior to enrollment.

State Issuing Birth Certificate                                                        

State File Number                                                                            

Date of Issue                                                                                    

Baptismal Date                                                                                  

Parish                                                                                                 

Documents viewed by