St. Mary's School

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Are you currently a Pre-K -8th grade family? REQUIRED YES NO Please fill out this field.
- Number of Preschool Students You are Registering REQUIRED Please fill out this field.
- Student 1
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Student's Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  - Gender REQUIRED Male Female Please fill out this field.
  - Preschool Class you are registering for in 2021-22: REQUIRED 2-Day Morning Class (must be at least 3 by 9/1/21) 3-Day Morning Class (must be at least 3 by 9/1/21) 4-Day Afternoon Class (must be at least 4 by 9/1/21) Kindergarten Readiness (must be in final year of preschool and at least 4 by 9/1/21) Please fill out this field.
  - Please check any/all of the TRUE statements This student has special physical or medical needs. This student has special social or emotional needs. This student has been on an IEP or 504 Plan. This student has an illness, allergy (including food) or other health issue that our school will need to be aware of.
  - If any boxes were checked in previous question, please supply more details.
  - Student Race/Ethnicity (for statistical purposes only) African American American Indian Asian Caucasian Hispanic/Latino Pacific Islander Other
  - What best describes student's living situation: REQUIRED Lives with both parents Parents divorced/separated but share physical custody Lives with mother full time Lives with father full time Other Please fill out this field.
- Student 2
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Student's Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  - Gender REQUIRED Male Female Please fill out this field.
  - Preschool Class you are registering for in 2021-22: REQUIRED 2-Day Morning Class (must be at least 3 by 9/1/21) 3-Day Morning Class (must be at least 3 by 9/1/21) 4-Day Afternoon Class (must be at least 4 by 9/1/21) Kindergarten Readiness (must be in final year of preschool and at least 4 by 9/1/21) Please fill out this field.
  - Please check any/all of the TRUE statements This student has special physical or medical needs. This student has special social or emotional needs. This student has been on an IEP or 504 Plan. This student has an illness, allergy (including food) or other health issue that our school will need to be aware of.
  - If any boxes were checked in previous question, please supply more details.
  - Student Race/Ethnicity (for statistical purposes only) African American American Indian Asian Caucasian Hispanic/Latino Pacific Islander Other
  - What best describes student's living situation: REQUIRED Lives with both parents Parents divorced/separated but share physical custody Lives with mother full time Lives with father full time Other Please fill out this field.
- Student 3
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Student's Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  - Gender REQUIRED Male Female Please fill out this field.
  - Preschool Class you are registering for in 2021-22: REQUIRED 2-Day Morning Class (must be at least 3 by 9/1/21) 3-Day Morning Class (must be at least 3 by 9/1/21) 4-Day Afternoon Class (must be at least 4 by 9/1/21) Kindergarten Readiness (must be in final year of preschool and at least 4 by 9/1/21) Please fill out this field.
  - Please check any/all of the TRUE statements This student has special physical or medical needs. This student has special social or emotional needs. This student has been on an IEP or 504 Plan. This student has an illness, allergy (including food) or other health issue that our school will need to be aware of.
  - If any boxes were checked in previous question, please supply more details.
  - Student Race/Ethnicity (for statistical purposes only) African American American Indian Asian Caucasian Hispanic/Latino Pacific Islander Other
  - What best describes student's living situation: REQUIRED Lives with both parents Parents divorced/separated but share physical custody Lives with mother full time Lives with father full time Other Please fill out this field.
The student(s) are Catholic or Non - Catholic? (We are an inclusive school and do not discriminate. This information is used for administrative purposes.) REQUIRED Catholic Non Catholic Please fill out this field.
If Catholic select the Church where you child(ren) is/are a member (select "none" if not a member anywhere) REQUIRED Please fill out this field.
What language(s) are spoken in your home? REQUIRED Please fill out this field. Please enter valid data.
Mother's/Guardian's Information
First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Mailing 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.
Email REQUIRED Please fill out this field. Please enter an email address.
Cell Phone REQUIRED Please fill out this field. Please enter valid data.
Other Daytime Phone Number REQUIRED Please fill out this field. Please enter a phone number.
Employer & Occupation REQUIRED Please fill out this field. Please enter valid data.
Father's/Guardian's Information
First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Mailing Address (if different from Mother's) Please enter valid data.
City Please enter valid data.

State

Zip Please enter a zip code.
Email REQUIRED Please fill out this field. Please enter an email address.
Cell Number REQUIRED Please fill out this field. Please enter a phone number.
Other Daytime Phone Number REQUIRED Please fill out this field. Please enter a phone number.
Employer & Occupation REQUIRED Please fill out this field. Please enter valid data.
Other child(ren) in your household
- How many other children in the household (who do not attend St. Mary's School)? REQUIRED Please fill out this field.
- Child 1
  - Name REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  - School Attending (if applicable) REQUIRED Please fill out this field. Please enter valid data.
- Child 2
  - Name REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  - School Attending (if applicable) REQUIRED Please fill out this field. Please enter valid data.
- Child 3
  - Name REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  - School Attending (if applicable) REQUIRED Please fill out this field. Please enter valid data.
- Child 4
  - Name REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  - School Attending (if applicable) REQUIRED Please fill out this field. Please enter valid data.
- Child 5
  - Name REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  - School Attending (if applicable) REQUIRED Please fill out this field. Please enter valid data.
- Child 6
  - Name REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  - School Attending (if applicable) REQUIRED Please fill out this field. Please enter valid data.
How did you hear about St. Mary's School? REQUIRED
Check all boxes that apply.
Church SMS Website Facebook Newspaper Flyer or Poster Yard Sign Word of Mouth Drove By Other Referral Please fill out this field.
If you were referred by an existing SMS Family please enter the family's name. Please enter valid data.
REGISTRATION FEE
There is a $50 per family registration fee that is required to complete the registration process. If you are registering another Pre-K-8th grade student at St. Mary's School, you will only need to submit one $50 payment.

To pay your registration fee online HERE or drop off/send a $50 check/cash to St. Mary’s School - 730 S. Cedar Ave. IF YOU ARE A CURRENT K-8 SMS FAMILY AND WOULD LIKE TO PAY ONLINE, PLEASE PAY THROUGH INFINITE CAMPUS, USING THE DIRECTIONS SENT IN THE ENROLLMENT PACKET ,

If your family chooses to withdraw your application, your fee will not be refunded. Registration is NOT complete until we receive your registration fee. Please note completeing the registration process does NOT guarantee admittance, you will be contacted with more details.
AGREEMENT TERMS
By checking the box below, we, the undersigned, certify the information provided in this enrollment application is accurate and complete. St. Mary’s School retains the right to determine if a student is accepted. No child will be discriminated against because of race, national origin, sex, disability, age and reprisal/retaliation for prior Civil Rights activity. This institution is an equal opportunity provider. If my child(ren) is/are accepted, we agree to comply with all rules and regulations set forth by St. Mary’s School. In addition, we agree to cooperate and assist the administration, faculty and staff in promoting the integrity and high spiritual, moral, and academic standards set forth by St. Mary’s School. We acknowledge that St. Mary’s School reserves the right to cancel enrollment at any time for reasons of academic, moral, or character deficiency as well as any actions detrimental to the Diocese of Winona-Rochester, or the faculty, administration, staff, facilities, student body and name of St. Mary’s School. Upon admission, as parent(s)/guardian(s), we accept financial responsibility for all tuition, fees and charges on behalf of the named students. It is our obligation to make timely payments and we understand if we are not up to date with our payments, it may affect our ability to continue our enrollment.
I Agree Please select this field.

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PRESCHOOL - 8TH GRADE
507-446-2300

Preschool Registration

Preschool Registration Form

Mother's/Guardian's Information

Father's/Guardian's Information

Other child(ren) in your household