test - Westside Catholic School

Student Data

* Indicates required field

First Name *

Middle *

Last *

Date of Birth (MM/DD/YYYY) *

Age as of July 31st *

Place of Birth (City,State) *

Applying for Grade *

Date Entering (MM/DD/YYYY) *

Race *

Sex *

Ethnicity *

Presently Enrolled at (if other than WCS) *

Address *

Phone *

Has the student been Baptised? *

Has the student received First Communion? *

Church *

City *

State *

Date (MM/DD/YYYY) *

Doctor *

Dentist *

Phone *

Hospital Preference *

Any known allergies, special health, or physical needs? List all *

*The following section is for students who require a Service Plan only.

Does your child presently have a Service Plan (IEP, Speech, 504,...)? *

Yes No

Test/Evaluation *

Test Agency *

Date *

Submit the following documents with the Enrollment Application (if applicable):

Copy of Birth Certificate *

Max file size: 20MB

Previous Year Report Card *

Max file size: 20MB

Baptismal Certificate *

Max file size: 20MB

Standardized Tests *

Max file size: 20MB

Health Record/Immunization *

Max file size: 20MB

Service Plan *

Max file size: 20MB

*A $50.00 Registration Fee is required for all NEW students in Grades K-8. This is to be submitted at one of our school locations, before the student can be enrolled.

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