Initial Enrollment Application

- The maximum number of form submissions has been reached. This form is currently not available.
  
  Email [email protected], or call 334-887-5540 if you have any questions.
  
  At this time, our 2023 Early Learning Center enrollment is full, and any subsequent applications for ELC enrollment will be added to a waiting list.
  
  Does this child have a sibling currently enrolled at St. Michael Catholic School? REQUIRED Yes No Please fill out this field.
  
  STUDENT INFORMATION
  
  Academic Year Applying For REQUIRED Please fill out this field.
  
  Age as of September 10, 2023 REQUIRED Please fill out this field. Please enter an integer (number).
  
  Years REQUIRED Please fill out this field. Please enter an integer (number).
  
  Months REQUIRED Please fill out this field. Please enter an integer (number).
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Boy Girl Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Select Grade REQUIRED Please fill out this field.
  
  Parish or Church Affiliation REQUIRED Please fill out this field. Please enter valid data.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  SPECIAL ATTENTIONS
  
  Does this child have a formal learning plan in place? REQUIRED Please fill out this field.
  
  If Yes, please explain what kind of plan is in place.
  
  Has this child ever been tested by a specialist? REQUIRED Please fill out this field.
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Name of Specialist Please enter valid data.
  
  Diagnosis/Recommendations
  
  Other Health Information
  
  SCHOOL INFORMATION
  
  Date entering St. Michael Catholic School REQUIRED
  If entering in Fall 2023, use the date 08/16/2023.
  Please fill out this field. Please enter valid data.
  
  If transferring from a different school, which school?
  
  School name? REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  AFTER SCHOOL CARE
  
  Are you interested in after-school care? This will help determine if after-school care will be provided this year. REQUIRED Yes No Please fill out this field.
  
  PARENT/GUARDIAN CONTACT INFORMATION
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to child REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Email address REQUIRED Please fill out this field. Please enter valid data.
  
  Mailing Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  DISCLAIMER: This does not ensure enrollment. Acceptance is complete after Parent/Child interviews and the reception of additional documentation.
  
  ADMISSIONS PROCESS
  
  Once an application has been submitted, school staff schedules in-person Parent/Child interviews.
  
  Accepted families will receive a registration packet; a nonrefundable registration fee will apply.
  
  Registration packets and registration fee are due by the specified date.
  
  Submit
  
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