Student Name *

First Name

Last Name

Student Gender *

Boy

Girl

Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mailing Address (if different from Home Address)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

The student lives with... *

Select all that apply.

Mother

Father

Grandparent

Guardian

If Pre-School or Pre-K, what days do you want your child to attend?

Select all that apply.

Monday

Tuesday

Wednesday

Thursday

Friday

Father's Name *

First Name

Last Name

Father's Home Phone *

(###)

###

####

Father's Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Father's Mobile Phone *

(###)

###

####

Father's Work Phone *

(###)

###

####

Formally Registered? *

Yes

No

Mother's Name *

First Name

Last Name

Mother's Home Phone

Country

(###)

###

####

Mother's Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mother's Mobile Phone *

(###)

###

####

Mother's Work Phone *

(###)

###

####

Formally Registered *

Yes

No

Baptism Status

My child is baptized.

My child is not yet baptized.

Date of Child's Baptism

MM

DD

YYYY

Date of First Holy Communion

MM

DD

YYYY

The Diocese of Fall River offers need based assistance through the Foundation for Advancement of Catholic Education (FACE) scholarship. *

I will be applying for the FACE scholarship.

I will not be applying for the FACE scholarship.

Name *

First Name

Last Name

Today's Date *

MM

DD

YYYY