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Apply at Sacred Heart

- Students

Application 2024-2025
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- Father's First and Last Name REQUIRED Please fill out this field. Please enter valid data.
- Father's birthplace REQUIRED Please fill out this field. Please enter valid data.
- Father's Religion REQUIRED Please fill out this field. Please enter valid data.
- Father's Occupation REQUIRED Please fill out this field. Please enter valid data.
- Father's Employer/Business REQUIRED Please fill out this field. Please enter valid data.
- Father's Cell Phone REQUIRED Please fill out this field. Please enter valid data.
- Father's Business Phone REQUIRED Please fill out this field. Please enter valid data.
- Mother First and (Maiden) Last Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's birthplace REQUIRED Please fill out this field. Please enter valid data.
- Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
- Mother's Occupation REQUIRED Please fill out this field. Please enter valid data.
- Mother's Employer/Business REQUIRED Please fill out this field. Please enter valid data.
- Mother's Cell Phone REQUIRED Please fill out this field. Please enter valid data.
- Mother's Business Phone REQUIRED Please fill out this field. Please enter valid data.
- Parents Marital Status REQUIRED Please fill out this field.
- Parent's primary email address for billing and newsletters REQUIRED Please fill out this field. Please enter an email address.
- Person to call in case of emergency REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Name of child's daycare provider REQUIRED Please fill out this field. Please enter valid data.
- Daycare Provider Phone number 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.
- Home Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Language spoken in home REQUIRED Please fill out this field. Please enter valid data.
- Number of Children REQUIRED Please fill out this field.
  
  Child 1
  
  Child's Name (Last, First, Middle) REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Nickname REQUIRED Please fill out this field. Please enter valid data.
  
  Birthplace REQUIRED Please fill out this field. Please enter valid data.
  
  Last School Attended (if applies) - Name & Location REQUIRED Please fill out this field. Please enter valid data.
  
  Previous Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Ethnicity, please select one REQUIRED Please fill out this field.
  
  Health Insurance, please select one REQUIRED Please fill out this field.
  
  Baptism (name of church, city and state) REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of church where registered at REQUIRED Please fill out this field. Please enter valid data.
  
  Other special information the school needs to know (allergies, medical problems, etc) REQUIRED Please fill out this field.
  
  Child 2
  
  Child's Name (Last, First, Middle) REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Nickname REQUIRED Please fill out this field. Please enter valid data.
  
  Birthplace REQUIRED Please fill out this field. Please enter valid data.
  
  Last School Attended (if applies) - Name & Location REQUIRED Please fill out this field. Please enter valid data.
  
  Previous Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Ethnicity, please select one REQUIRED Please fill out this field.
  
  Health Insurance, please select one REQUIRED Please fill out this field.
  
  Baptism (name of church, city and state) REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of church where registered at REQUIRED Please fill out this field. Please enter valid data.
  
  Other special information the school needs to know (allergies, medical problems, etc) REQUIRED Please fill out this field.
  
  Child 3
  
  Child's Name (Last, First, Middle) REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Nickname REQUIRED Please fill out this field. Please enter valid data.
  
  Birthplace REQUIRED Please fill out this field. Please enter valid data.
  
  Last School Attended (if applies) - Name & Location REQUIRED Please fill out this field. Please enter valid data.
  
  Previous Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Ethnicity, please select one REQUIRED Please fill out this field.
  
  Health Insurance, please select one REQUIRED Please fill out this field.
  
  Baptism (name of church, city and state) REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of church where registered at REQUIRED Please fill out this field. Please enter valid data.
  
  Other special information the school needs to know (allergies, medical problems, etc) REQUIRED Please fill out this field.
  
  Child 4
  
  Child's Name (Last, First, Middle) REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Nickname REQUIRED Please fill out this field. Please enter valid data.
  
  Birthplace REQUIRED Please fill out this field. Please enter valid data.
  
  Last School Attended (if applies) - Name & Location REQUIRED Please fill out this field. Please enter valid data.
  
  Previous Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Ethnicity, please select one REQUIRED Please fill out this field.
  
  Health Insurance, please select one REQUIRED Please fill out this field.
  
  Baptism (name of church, city and state) REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of church where registered at REQUIRED Please fill out this field. Please enter valid data.
  
  Other special information the school needs to know (allergies, medical problems, etc) REQUIRED Please fill out this field.
  
  Child 5
  
  Child's Name (Last, First, Middle) REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Nickname REQUIRED Please fill out this field. Please enter valid data.
  
  Birthplace REQUIRED Please fill out this field. Please enter valid data.
  
  Last School Attended (if applies) - Name & Location REQUIRED Please fill out this field. Please enter valid data.
  
  Previous Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Ethnicity, please select one REQUIRED Please fill out this field.
  
  Health Insurance, please select one REQUIRED Please fill out this field.
  
  Baptism (name of church, city and state) REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism Date REQUIRED Please fill out this field. Please enter valid data.
  
  Name of church where registered at REQUIRED Please fill out this field. Please enter valid data.
  
  Other special information the school needs to know (allergies, medical problems, etc) REQUIRED Please fill out this field.
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Sacred Heart Catholic School

Spencer, Iowa

Apply at Sacred Heart

Application 2024-2025