Saints Peter & Paul School
Family Registration Form

School Year: ___________   Family Last Name: _________________    Check New or Returning family

Family Religious Affiliation: ______________

Parish:  ___________________________

Home Info

Parental Status: Married  Separated  Divorced  Remarried  Single  Widow/Widower Other
Students Live With: Both Parents/Guardian   Mother   Father  Mother/Stepfather  Father/Stepmother  Grandparents  Other
Language spoken at home: English   Spanish    Other: ______________________
Fill in the address of the person/s with whom the students live.
Address: _________________________________ City: ______________________ State: ______  Zip:________
Home Phone: _____________________.	Other Phone: _____________________
Email Address _____________________________

Father

Name:______________________________

Occupation: ________________________

Employer:___________________________

Bus. Phone: _________________________

Cell Phone: _________________________

Father Religion: _____________________

Mother

Name:_______________________________

Occupation: __________________________

Employer:____________________________

Bus. Phone:___________________________

Cell Phone:___________________________

Mother Religion: ______________________

Maiden Name: ________________________

Other Adults Living at this Home

___________________________________

___________________________________

Transportation

List anyone else who may pick up your students.

_____________________________________

Emergency Contact

List a person who can be contacted in case of an emergency if Parent/Guardian is not available.

Name: ____________________  Phone: ___________

Medical

Doctor:______________________ Phone: _________

Dentist: ___________________ Phone: _________

Hospital: ______________________________

If a second family should receive information from the school, enter that information below.

Name: _____________________________    Relationship to Student/s: _______________________

Address: ____________________________________________________

City: ____________________________   State: _____________    Zip:___________  Phone: ____________

Comments: Enter any additional comments about your family you feel the school should have.