K-8 New Student Application
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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:










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