St.Therese Catholic School   Catholic Education...the Gift of a Lifetime

St. Therese Catholic School Inquiry Form

Parent / Guardian Information Title Mr.Mrs.MissMs.Dr.Fr.Sr.Br.Rev.Mr. & Mrs.PastorRabbiDr. & Mrs.Mr. & Dr.Drs.Rev. & Mrs.Dr. & Dr.Rabbi & Mrs.SenatorSenator & Mrs.Mr. & SenatorJudge & Mrs.Mr. & JudgeCantorCantor & Mrs.Capt.Capt. & Mrs.Deacon Title Mr.Mrs.MissMs.Dr.Fr.Sr.Br.Rev.Mr. & Mrs.PastorRabbiDr. & Mrs.Mr. & Dr.Drs.Rev. & Mrs.Dr. & Dr.Rabbi & Mrs.SenatorSenator & Mrs.Mr. & SenatorJudge & Mrs.Mr. & JudgeCantorCantor & Mrs.Capt.Capt. & Mrs.Deacon First Name First Name Last Name Last Name Address Address City City State/Region State/Region Zip/Postal Code Zip/Postal Code Country Country Home Phone Home Phone Work Phone Work Phone Cell Phone Cell Phone Email Email Relationship Parents FatherMotherStepfatherStepmotherFoster FatherFoster MotherGrandfatherGrandmotherGrandparentsAuntUncleRelativeGuardianLegal GuardianDayCare ProviderClose FriendStudentSiblingColleagueHelperNannyPartnerNot Defined Relationship Parents FatherMotherStepfatherStepmotherFoster FatherFoster MotherGrandfatherGrandmotherGrandparentsAuntUncleRelativeGuardianLegal GuardianDayCare ProviderClose FriendStudentSiblingColleagueHelperNannyPartnerNot Defined  Student Information First Middle Last DOB Current Grade Gender PreschoolKindergarten1st2nd3rd4th5th6th7th8th MaleFemale PreschoolKindergarten1st2nd3rd4th5th6th7th8th MaleFemale PreschoolKindergarten1st2nd3rd4th5th6th7th8th MaleFemale PreschoolKindergarten1st2nd3rd4th5th6th7th8th MaleFemale PreschoolKindergarten1st2nd3rd4th5th6th7th8th MaleFemale PreschoolKindergarten1st2nd3rd4th5th6th7th8th MaleFemale  Additional Information Parish Name St. Therese ParishAscension ParishQueen of Peace ParishOur Lady Mother of The Church ParishSt. James ParishChrist the King ParishSt. Lawrence Korean ParishSt. Pius ParishLady of Loreto ParishOur Lady of Guadalupe ParishN/ASt. Rose de Lima ParishQueen of Vietnamese Martyrs ParishRisen Christ ParishSt. Joseph ParishOur Lady of the Plains Parish Affiliation YesNo  Comments