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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: |
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Child's name:
(last, first, middle) |
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| Social Security # |
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| Address |
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| City |
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| State/Province |
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| Zip/Postal Code |
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| Country |
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| Telephone |
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| Housing Area |
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| Place of Birth |
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| Date of Birth |
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Family Record
| Father's Name |
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| Living or Deceased? |
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| Father's Place of birth |
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| Father's Religion |
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| Father's Occupation |
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| Father's Work Phone # |
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| Father's Rank if Military |
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| Father's Rank if retired |
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| Mother's Name |
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| Living or Deceased? |
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| Mother's Place of birth |
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| Mother's Religion |
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| Mother's Occupation |
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| Mother's Work Phone # |
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| Mother's Rank if Military |
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| Mother's Rank if retired |
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| Parents of Child are: Married, Separated, Divorced |
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| NUMBER/Ages of Brothers/Sisters |
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| Grades of other children already attending St. Patrick's
School |
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| Name of Church where Parents are parishioners |
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| Name of Last School Child Attended/ City/State |
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Sacrament Record
Baptism
Date/Church/City/State |
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First Penance
Date/Church/City/State |
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First Communion
Date/Church/City/State |
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Signature of Parent/Guardian: _______________________
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