Z-Inactive St. Elizabeth Ann Seton Catholic School
  
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St. Elizabeth Ann Seton Catholic School
9539 Racquet Ct.
Elk Grove, CA 95758
School Year 2020-2021
 

Student Name  *
First Name:
  *
Middle Name:
Last Name:
  *

Grade Level in Fall 2022
  * 

Date of Birth  * 
  * 

Place of Birth
City:
State:
Zip:

Gender  * 

Parent 1/Legal Guardian  *
First Name:
  *
Last Name:
  *

Address
Address1:
City:
State:
Zip:

Home Phone

Work Phone

Cell Phone

Religion

Occupation

Email Address

Parent 2/Legal Guardian
First Name:
  *
Last Name:
  *

Address
Address1:
City:
State:
Zip:

Home Phone

Work Phone

Cell Phone

Religion

Occupation

Email Address

Parent Status  * 

Student Lives With  * 

Family Parish of Registry

School student is currently attending  * 
  * 
City:
State:
Zip:

Phone

504 Plan (if applicable)

IEP (Individualized Education Program) (if applicable)
Home Language Survey

Which language did your son or daughter learn when he or she first learned to talk?  * 
  * 

What language does your son or daughter most frequently use at home?  * 
  * 

What language do you use most frequently to speak to your son or daughter?  * 
  * 

Name the language most often spoken by the adults at home  * 
  * 
Record of Sacraments received


Baptism

Date

Church
City:
State:


Eucharist

Date

Church
City:
State:


Reconciliation

Date

Church
City:
State:


Confirmation

Date

Church
City:
State:


The following documents must accompany your application:
  • County Birth Certificate
  • Current Shot Record
  • TDAP Booster (7th Grade Only)
  • Baptismal Certificate
  • Most Recent Report Card (Grades 1-8)
  • IEP/ 504 Plan
Office Use Only

Documents Received:
 
 
 
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