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School Decal

Application for Admission

School Year Applying for:required
choose one.
Grade Applying for:requiredPlease select one.
Please select one.
Additional Choice:requiredPlease select one.
Please select one.

STUDENT INFORMATION

Student's Legal Namerequired
First Name
Middle
Namerequired
Last Name
Suffix (optional)
Name preferred to be called:required
Gender:required
Date of Birthrequired
Must contain a date in M/D/YYYY format
Current School:

FIRST PARENT or LEGAL GUARDIAN INFORMATION


First Parent or Legal Guardian's Namerequired
Prefix (optional)
First Name
Middle (optional)
Last Name
Suffix (optional)
Street Addressrequired
Must contain only letters, numbers and spaces
Cityrequired
Must contain only letters
Staterequired
Must contain only letters
Zip Coderequired
Must contain only letters, numbers and spaces
Email Addressrequired
I wish to receive school updates at this email address.
Primary Phone:required
Must contain only letters, numbers and spaces
Cell Phonerequired
Must contain only letters, numbers and spaces
Work Phone:
Must contain only letters, numbers and spaces
Occupation:
Employer:

SECOND PARENT or LEGAL GUARDIAN INFORMATION


Second Parent or Legal Guardian's Namerequired
Prefix (optional)
First Name
Middle (optional)
Last Name
Suffix (optional)
Second Parent or Legal Guardian's Street Addressrequired
You may write "same" in the blank provided if child lives with both parents. (Must contain only letters, numbers and spaces)
City (if different)
Must contain only letters
State (if different)
Must contain only letters
Zip Code (if different)
Must contain only letters, numbers and spaces
Email Addressrequired
I wish to receive school updates at this email address.
Primary Phone:required
Must contain only letters, numbers and spaces
Cell Phonerequired
(Must contain only letters, numbers and spaces)
Work Phone:
Must contain only letters, numbers and spaces
Occupation:
Employer:
Applicant lives with:
If the applicant lives with "other," what is the relationship to applicant?
Financial responsibility for applicant assumed by:required
Choose one.
If the answer to "Financial Responsibility" is "other," who is the responsible party?
How did you learn about St. James?
Is either parent a member of St. James?required
Religious Preference:

Thank you for your interest in St. James Episcopal School.