Father's Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Street 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.

Cell Phone REQUIRED Please fill out this field. Please enter valid data.

Home Phone Please enter valid data.

Mother's Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter valid data.

Street Address (if different from father) Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Cell Phone REQUIRED Please fill out this field. Please enter valid data.

Home Phone Please enter valid data.

Age 4 - Grade 8. Please choose one REQUIRED Tuesday Evening 5:30 - 6:30 PM G.I.F.T. Quarterly on Sundays 9:00 - 10:30 AM Please fill out this field.

Additional questions or comments?

I have read and understand the Philosophy and Tuition Policy of St. Mary’s as presented in the Tuition Information Sheet.

I Agree Please select this field.

To qualify for the "Plan A" or "Plan B" discounted rate, registration must be completed by [date].

I understand Please select this field.