Mother of Divine Grace

Interparochial School and Parish

Register your child at Mother of Divine Grace for 2020-2021 today!

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Registration Forms

- Registration

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- Mother of Divine Grace Interparochial School
  New Student Registration
  2020-2021
- Student's First and Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field.
- Birth date REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field. Please enter valid data.
- Country of Birth REQUIRED Please fill out this field. Please enter valid data.
- Home 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.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Religion REQUIRED Please fill out this field. Please enter valid data.
- Mother's First and Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Home Address
  If different from student.
  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.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Father's First and Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Home Address
  If different from student.
  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.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Home Situation REQUIRED Please fill out this field.
- Guardian's Name Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Home Address
  If different from student.
  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.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Legal Custody
  In case of separation or divorce a copy of the court order is required.
- Physical Custody
  In case of separation or divorce a copy of the court order is required.
- Language spoken at home Please enter valid data.
- Sacramental Information
- Baptismal date Please enter valid data.
- Name of Church 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.
- First Penance date Please enter valid data.
- Name of Church 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.
- First Holy Communion Please enter valid data.
- Name of Church 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.
- Confirmation date Please enter valid data.
- Name of Church 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.
- Academic Information
- Previous school attended Please enter valid data.
- Years attended Please enter valid data.
- Previous school attended Please enter valid data.
- Years attended Please enter valid data.
- Did your child receive any evaluation or testing prior to our during the school year? Yes No
- Does your child have an IEP?
  Please attach a copy of your child's IEP to the registration form.
  Yes No
- Is there any other information you feel we should know?
- Please attached the following files: Birth Certificate Social Security Card Baptismal Certificate Immunization Record
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