Interest Form Please complete all required fields! Thank you so much for your interest in our school! We're delighted that you are giving us the opportunity to show you what makes our school a wonderful place for our students and families. Please fill out the following information and we will contact you shortly. Parent Information Mother's Full Name* Please type the mother's full name. Letters only. Father's Full Name* Please type the father's full name. Letters only. Street Address* Please type your street address. City* Please type your address city. Letters only. State* Please type your address state. Letters only. Zip code* Please type your zip code. Home Phone Number* Please type your home phone number. (123-456-7890) Cell Phone Number* Please type your cell phone number. (123-456-7890) Email Address* Please type your valid email address. Religion* Please type your religion. Letters only Registered Parish (if applicable) Please type your registered parish (if applicable). Letters only How did you hear about our school? Choose all that apply.* From a friend/relativeFrom the Preschool or St. Bernadette alumnusFrom the phonebookFrom a web search engine (Google, etc.)From social media (Facebook, etc.)Through my parishOther Please check all that apply on how you heard about our school. Select the number of students you will be registering* 123456 Please select the number of students you will be registering. Prospective Student Information Student's Full Name* Please type the student's full name. Letters only. Gender* MaleFemale Please select a gender. Date of Birth* Month010203040506070809101112 / Day01020304050607080910111213141516171819202122232425262728293031 / Year200020012002200320042005200620072008200920102011201220132014201520162017201820192020 Please enter a valid birth date for your student. Current School Child is attending? Please answer N/A if child is not in Preschool or currently attending a school* Please type the current school your child is attending. Type N/A if child is not in Preschool or currently attending a school. Country of Birth* Please type the student's country of birth. Letters only. School year applying for (the year they would first attend St. Bernadette)* 2019-20202020-20212021-20222022-20232023-20242024-20252025-2026 Please select the school year that you are applying for. Current grade (the grade they are currently enrolled in)* Pre-Kindergarten/PreschoolKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade Please select the current grade the student is in. Additional Prospective Student Information Please enter the second child's information below. Student's Full Name* Please type the student's full name. Letters only. Gender* MaleFemale Please select a gender. Date of Birth* Month010203040506070809101112 / Day01020304050607080910111213141516171819202122232425262728293031 / Year200020012002200320042005200620072008200920102011201220132014201520162017201820192020 Please enter a valid birth date for your student. Country of Birth* Please type the student's country of birth. Letters only. School year applying for (the year they would first attend St. Bernadette)* 2019-20202020-20212021-20222022-20232023-20242024-20252025-2026 Please select the school year that you are applying for. Current grade (the grade they are currently enrolled in)* Pre-Kindergarten/PreschoolKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade Please select the current grade the student is in. Current School Child is attending? Please answer N/A if child is not in Preschool or currently attending a school* Please type the current school your child is attending. Type N/A if child is not in Preschool or currently attending a school. Additional Prospective Student Information Please enter the third child's information below. Student's Full Name* Please type the student's full name. Letters only. Gender* MaleFemale Please select a gender. Date of Birth* Month010203040506070809101112 / Day01020304050607080910111213141516171819202122232425262728293031 / Year200020012002200320042005200620072008200920102011201220132014201520162017201820192020 Please enter a valid birth date for your student. Country of Birth* Please type the student's country of birth. Letters only. School year applying for (the year they would first attend St. Bernadette)* 2019-20202020-20212021-20222022-20232023-20242024-20252025-2026 Please select the school year that you are applying for. Current grade (the grade they are currently enrolled in)* Pre-Kindergarten/PreschoolKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade Please select the current grade the student is in. Current School Child is attending? Please answer N/A if child is not in Preschool or currently attending a school* Please type the current school your child is attending. Type N/A if child is not in Preschool or currently attending a school. Additional Prospective Student Information Please enter the fourth child's information below. Student's Full Name* Please type the student's full name. Letters only. Gender* MaleFemale Please select a gender. Date of Birth* Month010203040506070809101112 / Day01020304050607080910111213141516171819202122232425262728293031 / Year200020012002200320042005200620072008200920102011201220132014201520162017201820192020 Please enter a valid birth date for your student. Country of Birth* Please type the student's country of birth. Letters only. School year applying for (the year they would first attend St. Bernadette)* 2019-20202020-20212021-20222022-20232023-20242024-20252025-2026 Please select the school year that you are applying for. Current grade (the grade they are currently enrolled in)* Pre-Kindergarten/PreschoolKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade Please select the current grade the student is in. Current School Child is attending? Please answer N/A if child is not in Preschool or currently attending a school* Please type the current school your child is attending. Type N/A if child is not in Preschool or currently attending a school. Additional Prospective Student Information Please enter the fifth child's information below. Student's Full Name* Please type the student's full name. Letters only. Gender* MaleFemale Please select a gender. Date of Birth* Month010203040506070809101112 / Day01020304050607080910111213141516171819202122232425262728293031 / Year200020012002200320042005200620072008200920102011201220132014201520162017201820192020 Please enter a valid birth date for your student. Country of Birth* Please type the student's country of birth. Letters only. School year applying for (the year they would first attend St. Bernadette)* 2019-20202020-20212021-20222022-20232023-20242024-20252025-2026 Please select the school year that you are applying for. Current grade (the grade they are currently enrolled in)* Pre-Kindergarten/PreschoolKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade Please select the current grade the student is in. Current School Child is attending? Please answer N/A if child is not in Preschool or currently attending a school* Please type the current school your child is attending. Type N/A if child is not in Preschool or currently attending a school. Additional Prospective Student Information Please enter the sixth child's information below. Student's Full Name* Please type the student's full name. Letters only. Gender* MaleFemale Please select a gender. Date of Birth* Month010203040506070809101112 / Day01020304050607080910111213141516171819202122232425262728293031 / Year200020012002200320042005200620072008200920102011201220132014201520162017201820192020 Please enter a valid birth date for your student. Country of Birth* Please type the student's country of birth. Letters only. School year applying for (the year they would first attend St. Bernadette)* 2019-20202020-20212021-20222022-20232023-20242024-20252025-2026 Please select the school year that you are applying for. Current grade (the grade they are currently enrolled in)* Pre-Kindergarten/PreschoolKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade Please select the current grade the student is in. Current School Child is attending? Please answer N/A if child is not in Preschool or currently attending a school* Please type the current school your child is attending. Type N/A if child is not in Preschool or currently attending a school. Next > Finalizing Information Required documentation is listed below *For all students: Please provide baptismal certificates for children, if applicable. **For students interested in Kindergarten or in 1st Grade: If interested in Kindergarten: Children must be 5 years of age by September 30th of the school year they are applying for to be eligible for admission. A birth certificate is required as proof. If interested in 1st grade: Children must be 6 years of age by September 30th of the school year they are applying for to be eligible for admission. A birth certificate is required as proof. ***For students interested in grades 1st through 8th: Please submit copies of report cards and any testing for the current year as well as for the previous year. By clicking below, I understand and will submit the necessary documentation in person or by pdf to Mrs. Nancy Weaver This email address is being protected from spambots. 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