Child Name__________________ Grade ________ Age________
Child Address_____________________________________ ____ ______________________________
Phone:_______________________________ Cell number
Family Email___________________________Other Email_________________________
Date of Birth_____________________Place of Birth __________
Religion_____________________ Parish Affiliation__________________________________
Sacrament Detail Has your child been baptised?_______
Ethnic Background: African/American American Indian Asian Bi-Racial Caucasian Hispanic Other:__________
Language child speaks:________________________________________
Student Academic Information:
Name of school Child is presently attending:___________________________________________________
If your child is entering Kindergarten: Has your child attended a pre school program? No ______ Yes _______ How many days a week______Name of School ____________________________Location ________________
In order to process your child’s registration: Please copy this completed form,send to Holy Family School at 30 So Portland Ave, Ventnor, NJ 08406 with registration fee of $125 and a copy of the Birth Certificate, Immunization records, and the Baptismal Certificate (if applicable). If you have more than one child registering, please complete a separate form for each child. Please feel free to call the school office with any questions: 609-822-2234. We will contact you for an interview upon receipt of your application.