Holy Trinity School Registration Form

Holy Trinity School
327 West Vincent Street
Ligonier, Pa 15658
724-238-6430

Holy Trinity School

Please click here to print registration Form

Application 2007-2008

STUDENT DATA Please print GRADE IN SEPTEMBER 2007:
Child’s Last name:		First:			Middle:
Address:			Sex:
City:	State:			Phone:
Birth Certificate No:			Date of Birth:			Age as of 9/1/07:
Birth City & State:			Public School District: (Where you live)
Religion:	Parish where registered:			Location of Parish:
Ethnicity: (Choose one)
School last Attended:			Address of school last attended:
FAMILY DATA: PLEASE PRINT
MOTHER			FATHER
Name:			Name:
Address:			Address:
Home Phone:			Home Phone:
Cell Phone:			Cell Phone:
Emergency Phone:			Emergency Phone:
Email:			Email:
Occupation:			Occupation:
Employed at:			Employed at:
Business Phone:			Business Phone:
Religion:			Religion:
Parish where registered:			Parish where registered:
Please note any medical or dietary information necessary for management in an emergency situation, e.g. allergies, medication, special conditions: A copy of the child’s immunization card must be presented with this application.

SACRAMENTAL INFORMATION:
Baptism Date:	Church:		Address:
Reconciliation Date:	Church:		Address:
Confirmation Date:	Church:		Address:
BROTHERS AND SISTERS IN ORDER OF BIRTH:
Name:		Date of Birth:


GUARDIANSHIP
Child’s legal guardian (if other than parent)
Relationship to the child:
Check those that apply: Parents Married Parents Separated Parents Divorced Parents not Married Single Parents Family Mother Remarried Mother Deceased Father Deceased Father Remarried
Child’s resides with:
OTHER IMPORTANT NOTES CONCERNING YOUR CHILD:
TUITION STATEMENT SHOULD BE SENT TO:
Name:		Relationship:
Address:

OFFICE USE ONLY:
Letter of Acceptance:	Information Package Sent:
Records Requested:	Transportation Notified:
PLEASE RETURN THIS FORM TO: HOLY TRINITY SCHOOL 327 W. Vincent St. Ligonier, PA 15658

Principal Office
Barbara Sabo
Holy Trinity School
327 West Vincent Street
Ligonier, Pa 15658
724-238-6430