SAINT ANNE'S SCHOOL 25 Dartmouth Street

Garden City, NY 11530

516-352-1205

stannesgcschool.org

REGISTRATION FORM- GRADES K-8

PARISHIONER YES ___ NO GRADE ENTERING

NON-PARISHIONER - NAME OF PARISH .----I -

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STUDENT' S NAME __________________ MALE ___ FEMALE

ADDRESS _____________ CITY ________ STATE ___ ZIP -_,.\--

HOME TELEPHONE# _____ MOTHER'S CELL# _____ FATHER'S CELL# ____ _

DATE OF BIRTH _______ PLACE OF BIRTH _______ RELIGION ___ ....._ __ _

**EMAIL ADDRESS (REQUIRED) ______________________ -+----

CHILD RESIDES WITH: BOTH PARENTS ___ MOTHER ___ FATHER ___ GUARDIJ

1

N __ _

FATHER'S FULL NAME ____________ FATHER'S OCCUPATION ____ __,

1

__ _

FATHER'S RELIGION---------- FATHER'S BIRTHPLACE _______ ,_

1

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FATHER'S COMPANY NAME ____________ BUSINESS PHONE# -----+---

BUSINESS ADDRESS---------------------------+----

MOTHER'S FULL NAME _____________ MAIDEN NAME-------+----

MOTHER'S RELIGION MOTHER'S BIRTHPLACE ---------- ----------+----

MOTHER'S OCCUPATION ____________ BUSINESS PHONE#-------+----

MOTHER'S COMPANY NAME _________________ _

BUSINESS ADDRESS ____________________ _

STUDENT'S DATE OF BAPTISIM -------- CHURCH ----------+----

STUDENT'S DATE OF FIRST PENANCE ____ _ CHURCH __________ +---

STUDENT'S DATE OF FIRST COMMUNION ___ _ CHURCH __________ +---

STUDENT'S DATE OF CONFIRMATION ____ _ CHURCH __________ -,-__

SCHOOL DISTRICT IN WHICH YOU RESIDE----------------------,-

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SACRAMENTS 1r SERVICE 1r SAINTS 1} SPIRIT 1} SCHOLARSHIP