St. Mary's Catholic School

New Student Application (PreK - 8th)

This form will be reviewed by the administration. Upon acceptance by the administration, your child's spot will be reserved for the school year. If classes are full, your child will be paced on a waiting list (see below for more information).

Academic Year: 2024-2025

Student's Grade Level: REQUIRED Please fill out this field. Please enter valid data.

Student's Full Name: REQUIRED Please fill out this field. Please enter valid data.

Address: REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

Age: REQUIRED Please fill out this field. Please enter valid data.

Gender: REQUIRED Please fill out this field. Please enter valid data.

Birthplace: REQUIRED Please fill out this field. Please enter valid data.

Religion: REQUIRED Please fill out this field. Please enter valid data.

Church (indicate City/State): REQUIRED Please fill out this field. Please enter valid data.

Ethnicity: REQUIRED White Black Hispanic/Latino Asian American Indian Other (please list) Please fill out this field.

Other ethnicity: Please enter valid data.

Parent Information

Please list any siblings and their schools/grade levels:

Student Background

Is the applicant ineligible to return to any previously attended school(s)? REQUIRED Yes No Please fill out this field.

Have the applicant’s absences and/or tardies exceeded school attendance policies? REQUIRED Yes No Please fill out this field.

Has the applicant ever skipped a grade? REQUIRED Yes No Please fill out this field.

Has the applicant ever repeated a grade? REQUIRED Yes No Please fill out this field.

Has the student ever had any disciplinary difficulty in school? If Yes, please explain: REQUIRED Yes No Please fill out this field.

Disciplinary difficulty explanation (if applicable):

Has the applicant ever been suspended, expelled, or asked to leave any school? If Yes, please explain: REQUIRED Yes No Please fill out this field.

Suspension and expulsion explanation (if applicable):

Has the applicant ever been placed on academic probation? If Yes, please explain: REQUIRED Yes No Please fill out this field.

Academic probation explanation (if applicable):

Does the applicant have any physical, mental, or emotional conditions which may affect his/her activities or academic progress? If Yes, please explain: REQUIRED Yes No Please fill out this field.

Physical, mental, or emotional conditions explanation (if applicable):

Does the applicant require any special curricular or classroom modifications? If Yes, please explain: REQUIRED Yes No Please fill out this field.

Special curricular or classroom modifications explanation (if applicable):

All documents relating to special services must be provided to St. Mary’s School prior to admission.

Important health information:

By signing below I attest that the information on this application is accurate and I give St. Mary’s School and its officials permission to contact my child’s former school (if applicable) to discuss information.

I Agree Please select this field.

Parent Signature REQUIRED Please fill out this field. Please enter valid data.

Date REQUIRED Please fill out this field. Please enter a date.

Parent Signature Please enter valid data.

Date Please enter a date.

Enrollment Agreement:

Fulfilling St. Mary’s School’s mission is not possible without the cooperation of parents. Upon enrollment, parents and students consent to be governed by the policies and rules set forth in the enrollment agreement and student/parent handbook.

The policies and rules of St. Mary’s School are subject to change as deemed appropriate by the administration. The administration is the sole authority for interpretation of policies and rules.

The education of a student is a partnership between the parents and the school. As a parent has the right to withdraw a child if desired, St. Mary’s School reserves the right to require withdrawal of a student if the administration determines the partnership is irretrievably broken.

St. Mary’s School - Waiting List

In the event that enrollment for a specific class is full, a waiting list will be established.
Waiting list priority will be established based on a number of considerations, including but not limited to the following:
- Registered members/families of St. Mary’s Parish, St. Thomas Parish, or St. Gall’s Parish with a sibling already enrolled in the school
- Registered members/families of St. Mary’s Parish, St. Thomas Parish, or St. Gall’s Parish who do not have any children enrolled in the school
- Families who have a sibling already enrolled in K-8 at the school
- Unregistered members/families of St. Mary’s Parish, St. Thomas Parish, or St. Gall’s Parish who agree to register with our parishes
- Other applicants not in the above categories

I/We understand that while my/our student is attending St. Mary’s Catholic School, we will promote and encourage academic excellence, observance of all school policies and procedures, and will maintain a respectful and cooperative attitude with the faculty, administration, and other parents. St. Mary’s Catholic School reserves the right to terminate this enrollment agreement during the term of the agreement according to the enrollment policy above.