Intent to Enroll

St. Peter Catholic School
2016-17

1Parent/Guardian info > 2Child info > 3Signature
Please select one

Please select one Current Family New Family
Father or Legal Guardian's Name Father or Legal Guardian's Name First Middle Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone Home Phone - ### - ### ####
Cell Phone Cell Phone - ### - ### ####
Work Phone Work Phone - ### - ### ####
Email
Employer
Position
Work Address
Mother or Legal Guardian's Name Mother or Legal Guardian's Name First Middle Last
Same address as Father/Legal Guardian listed above
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone Home Phone - ### - ### ####
Cell Phone Cell Phone - ### - ### ####
Work Phone Work Phone - ### - ### ####
Email
Employer
Position
Work Address
Marital Status

Marital Status Married Single Separated Divorced Widowed
Parent of child is deceased

Parent of child is deceased Mother Father
Remarried

Remarried Mother Father
Name of new spouse Name of new spouse First Middle Last
Court Order

Court Order Yes No
Military Affiliation

Military Affiliation Active-duty Retired Reserves Deployed
Please indicate branch of service
Current assignment/base/location
Which parent is or was in the service?

Which parent is or was in the service? Mother Father Both
Additional information you'd like to share about your family situation