First Name:
*
Last Name:
*
Address:
*
City:
*
Zip Code:
*
Home Phone:
*
Cell Phone:
*
Email:
*
Please check all that appy:
PreK 3 Program (M-W-F/Half Day:
Yes
PreK 4 (M-F Full Day:
Yes
Kindergarten (M-F/Full Day:
Yes
1st Grade:
Yes
2nd Grade:
Yes
3rd Grade:
Yes
4th Grade:
Yes
5th Grade:
Yes
6th Grade:
Yes
7th Grade:
Yes
8th Grade:
Yes
How did you hear about us:
Website
Newspaper Ad
SJS Brochure
New to Ken-Ton Area
Belong to St. John's Parish
Live in neighborhood
or:
Friend or Family Member (Name)
Other:
Would you like to tour the school:
Yes
Would you like to schedule a Shadow Day:
Yes
How would you like to be contacted:
Home Phone
Cell Phone
Email
Mail
Additional Information:
Verification No.:
*
