On-Line Registration Form

New Student Registration Form

This form is for new students to enroll at SS. Cyril & Methodius.

New Student Enrollment 2019-2020 (All required fields must be filled in) SS. CYRIL & METHODIUS SCHOOL 607 SOBIESKI STREET, LEMONT, 60439 630-257-6488
Date
Date Format: MM slash DD slash YYYY
Student's Full Name*
First Middle Last
Sex
- Male
- Female
BirthDate*
MM
DD
YYYY

BIRTH CERTIFICATE MUST BE ACCOMPANY PAYMENT AND SENT TO SCHOOL OFFICE.
Grade Entering*
Grade child will be entering. Select one.
Student's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Cell Phone
Email*

Email Address of parent or Guardian
Religion of Student
Baptismal Date
MM
DD
YYYY
Baptism Church, City, State
Please provide the name of the church, city and state.
Parish student belongs to:
First Communion (if applicable)
Date, Church, City and State
How did you hear about our school?
REGISTRATION FEE $150.00 GRADES PRE-K THROUGH 8 NON-REFUNDABLE APPLICATION WILL NOT BE PROCESSED UNTIL PAYMENT IS RECEIVED. $150.00 (NON-REFUNDABLE). Fee must be sent to school office within 10 days of electronic form's submission.
ADDITIONAL INFORMATION NEEDED: FAMILY INFORMATION
Father's Full Name
First Last
Father's Address
Street Address Address Line 2 City State ZIP Code
Father's Phone
Father's Email
Father's Religion*
Mother's Maiden Name
First Last
Mother's Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mother's Phone*
Mother's Email
Mother's Religion
Transfer Information (if applicable)
School Last Attended:
Address
City State
Did your child attend Pre-school?
- Yes
- No
- Other
What language is spoken at home?
Medication(s) if applicable:
Please list all medications that your child takes.
Taken during school hours?
- Yes
- No
If the medication(s) needs to be taken during school hours, please check the appropriate box.
Medical conditions if applicable:
Please list any medical conditions that the school needs to know. Example i.e.: asthma, allergies, etc.
Learning or Behavioral Disablities?
- Yes
- No
Does your child have any learning or behavioral disablities?
Parent Signature*
Please type in your full name. This will be an electronic signature. You maybe asked to sign your form again. in person.
Date submitted:
Date Format: MM slash DD slash YYYY
You will be notified by letter of acceptance.
SS. Cyril and Methodius School does not discriminate against race, color or religion.
For Office Use Only: Envelope #_______________ Report Card_______ Birth Certificate ___________ Baptismal Cert.#___________ Med Reports_______