Registration

 

 

 

 

                               Our Lady of Fatima School                   

                                                                                                              

                                                                                   

Date:  _________________ School District in which student resides:_______________________________________

 

Student's Name: _____________________________________________________Sex:____________                            Grade:______

 

Address:  ___________________________________________________Phone:                           _____________________________

                                            Street                                                                   City, State                                                   Zip

Place of Birth:  _______________________________Birth Date: ______________ Child's                           Religion:_____________

 

Father's Name:______________________________                           Address:_____________________________________________

 

Phone: _________________                           Father's Religion:_____________________ Education:___________________________

 

Father's Occupation:______________________________________Phone:__________________________________

 

Mother's Name: ________________________Mother's Maiden Name_________________                           Religion:_____________

 

Address:______________________________________                           Phone:__________________ Education:_________________

 

Mother's                           Occupation: __________________________________Phone: _____________________________________

 

Step-Parent/Guardian Name:________________________________________________________________________

 

Either parent may pick up child: Yes___   No ____                                        May child be released to step-parent? Yes______No_____

 

List names                           of family members or friends child may be released to:__________________________________________

 

List Brother & Sisters:                                                                                                                            Ages

_____________________________________________________         ________________________

_____________________________________________________         ________________________

_____________________________________________________         ________________________

 

Last School Attended:______________________________________________________________________________

Addresss:________________________________________________________________________________________

 

Allergies, etc., that should be noted:___________________________________________________________________

Family Doctor:________________________________________   Phone:____________________________________

Hospital:_____________________________________________  Phone:_____________________________________

 

Sacraments Child has received:                                                   Date                         Church                                            Address

Baptism:          ___________________________________________________________________________________

 

Holy Eucharist ___________________________________________________________________________________

 

Confirmation   ___________________________________________________________________________________

 

Are you registered at Our Lady of Fatima Parish?  Yes ______   No _____

 

If not, parish to which you belong? ______________________

 

                     
                                                                
                                                                
                                                                
                                                                
                                                                  
Our Lady of Fatima School,                                    3005 Fatima Drive, Aliquippa, PA 15001 724.375.7565 olofschool@comcast.net