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Sancta Maria Classical Academy Application

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Family Last Name *

Mother/Father names *

Current Address

Country

Address 1 *

Address 2

City *

State *

ZIP code *

Mom phone: *

Dad phone:

Mom email address: *

Dad email address:

Parish *

How many children would you like to register? (Please include nursery aged children in registration) *

Child #1

Full Name: *

Birthdate: *

Month

Day

Year

Gender *

Male

Female

Grade entering: *

Previous school:

Child #2

Full Name: *

Birthdate: *

Month

Day

Year

Gender *

Male

Female

Grade entering: *

Previous school:

Child #3

Full Name: *

Birthdate: *

Month

Day

Year

Gender *

Male

Female

Grade entering: *

Previous school:

Child #4

Full Name: *

Birthdate: *

Month

Day

Year

Gender *

Male

Female

Grade entering: *

Previous school:

Child #5

Full Name: *

Birthdate: *

Month

Day

Year

Gender *

Male

Female

Grade entering: *

Previous school:

Child #6

Full Name: *

Birthdate: *

Month

Day

Year

Gender *

Male

Female

Grade entering: *

Previous school:

Child #7

Full Name: *

Birthdate: *

Month

Day

Year

Gender *

Male

Female

Grade entering: *

Previous school:

Child #8

Full Name: *

Birthdate: *

Month

Day

Year

Gender *

Male

Female

Grade entering: *

Previous school:

Tutor Preference *

Tutor (On site full time. Plus at home planning and grading)

Tutor Assistant (Volunteer hours are NEEDED and REQUIRED)

Please Select which option fits your family best:

Student Allergies:

Leave this field blank

+JMJ+

Omnia possum in eo qui me confortat

“I can do all things in Him who strengthens me” (Phil 4:13)

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