St. Dorothy Catholic School Enrollment Application

Student Information

Student's Legal First Name*

Answer required for "Student's Legal First Name"

Student's Legal Middle Name

Answer required for "Student's Legal Middle Name"

Student's Legal Last Name*

Answer required for "Student's Legal Last Name"

Preferred Name

Answer required for "Preferred Name"

Grade Entering*

Answer required for "Grade Entering"

Date of Birth*

Answer required for "Date of Birth"

Upload Birth Certificate

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Student's Address

Street Address*

Answer required for "Street Address"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

Student Lives With:

Answer required for "Student Lives With:"

Mother & Father

Mother only

Father only

Other:

PARENT/GUARDIAN #1

Mother's First Name*

Answer required for "Mother's First Name"

Mother's Middle Name

Answer required for "Mother's Middle Name"

Mother's Last Name*

Answer required for "Mother's Last Name"

Mother's Email*

Answer required for "Mother's Email"

Mother's Mobile Phone*

Number Required

Mother's Address

Check "Same Address" if same as Student or provide different address in "Other".

Answer required for "Mother's Address"

Same Address as Student

Other:

Marital Status

Answer required for "Marital Status"

Single

Married

Other:

PARENT/GUARDIAN #2

Father's First Name*

Answer required for "Father's First Name"

Father's Middle Name

Answer required for "Father's Middle Name"

Father's Last Name*

Answer required for "Father's Last Name"

Father's Email*

Answer required for "Father's Email"

Father's Mobile Phone*

Number Required

Father's Address

Check "Same Address" if same as Student or provide different address in "Other".

Answer required for "Father's Address"

Same Address as Student

Other:

Marital Status

Answer required for "Marital Status"

Single

Married

Other:

SIBLINGS

Sibling 1: Name, Age, Current School

Answer required for "Sibling 1: Name, Age, Current School"

Sibling 2: Name, Age, Current School

Answer required for "Sibling 2: Name, Age, Current School"

Sibling 3: Name, Age, Current School

Answer required for "Sibling 3: Name, Age, Current School"

Sibling 4: Name, Age, Current School

Answer required for "Sibling 4: Name, Age, Current School"

CURRENT & PREVIOUS SCHOOLS

Check box if child does not currently attend school.

Answer required for "Check box if child does not currently attend school."

Current School's Name, City, and State

Answer required for "Current School's Name, City, and State"

Grade Level at Current School

Answer required for "Grade Level at Current School"

Previous School's Name, City, and State

Answer required for "Previous School's Name, City, and State"

Grade Level(s) at Previous School

Answer required for "Grade Level(s) at Previous School"

REPORT CARDS & TESTING

For a new student entering First Grade or above, please provide recent report cards and STAR test scores (if STAR is used at current school).

Upload recent report cards and/or STAR testing

Answer required for "Upload recent report cards and/or STAR testing"

Choose a file or drag it here.

PARISH & SACRAMENTAL INFORMATION

Student's Religion

Answer required for "Student's Religion"

Catholic

Other:

Mother's Religion

Answer required for "Mother's Religion"

Catholic

Other:

Father's Religion

Answer required for "Father's Religion"

Catholic

Other:

Family's Current Parish

Answer required for "Family's Current Parish"

St. Dorothy Church

None or Not Applicable

Other:

PARISH REGISTRATION

If you answered Yes, please provide your envelope #:

Answer required for "If you answered Yes, please provide your envelope #:"

STUDENT'S SACRAMENTS

Baptism Date

Answer required for "Baptism Date"

Baptism: Church Name, City, and State

Answer required for "Baptism: Church Name, City, and State"

Upload Baptismal Certificate

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First Communion Date

Answer required for "First Communion Date"

First Communion: Church Name, City, and State

Answer required for "First Communion: Church Name, City, and State"

Upload First Communion Certificate

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IMMUNIZATIONS

Please provide the student's immunization records on this form or in person at the office. You may check your child’s California vaccine record at MyVaccineRecord.CDPH.CA.gov

Upload Immunization Record

Answer required for "Upload Immunization Record"

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Parent Signature*

Signature Required

Please fix the highlighted areas below before submitting.

St. Dorothy Catholic School Enrollment Application