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 2019-2020
 

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

Grade Level in Fall 2019
  * 

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 you 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: