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Application
Up Preschool Application

 

St. Patrick's School Application Form

Instructions: Please feel free to print the form below.   Complete the form and mail the application and associated fees to:

St. Patrick's Education Center
1620 Marlborough Road
Fayetteville, North Carolina  28304-3621

  School Year 2000-2001

PUPIL RECORD

Grade Applying for:  
Child's name:
(last, first, middle)
 
Social Security #  
Address  
City  
State/Province  
Zip/Postal Code  
Country  
Telephone  
Housing Area  
Place of Birth  
Date of Birth  

Family Record

Father's Name  
Living or Deceased?  
Father's Place of birth  
Father's Religion  
Father's Occupation  
Father's Work Phone #  
Father's Rank if Military  
Father's Rank if retired  
Mother's Name  
Living or Deceased?  
Mother's Place of birth  
Mother's Religion  
Mother's Occupation  
Mother's Work Phone #  
Mother's Rank if Military  
Mother's Rank if retired  
Parents of Child are: Married, Separated, Divorced  
NUMBER/Ages  of Brothers/Sisters  
Grades of other children already attending St. Patrick's School  
Name of Church where Parents are parishioners  
Name of Last School Child Attended/ City/State  

Sacrament Record

Baptism
Date/Church/City/State
 
First Penance
Date/Church/City/State
 
First Communion
Date/Church/City/State
 

Signature of Parent/Guardian: _______________________