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New Student Application
2008-2009

Student Name:

__________________________________________________________
First                    Middle                Last

____________________________________________________________
Address:        Number & Street        City          State            Zip

Home Phone:______________________

Boy:  _________       Girl: _________

Where do you go to school now?  ____________________________________________

What grade are you in now? _______________________________

For what grade are you applying? ___________________________

Number of children in family: __________  Ages: _________________

How did you hear about St. Patrick School?___________________________________

_______________________________________________________________________

Why do you wish to enroll your child in St. Patrick School?______________________

_______________________________________________________________________

All information must be provided in order to be considered for acceptance.

Print a copy of this form and mail it to: 

St. Patrick School and Educational Center
311 Adams Street
Lowell, MA 01854
978.458.4232