Head of Household  
           
          
            Title  
          	 
          	   
          	      
          	     None 
          	     Mr. 
          	     Ms. 
          	     Mrs. 
          	    
             
            * First Name  
             
            * Last Name  
             
            Suffix  
            
              
                 
                None 
                Sr. 
                Jr. 
                II 
                III 
                IV 
                V 
                VI 
                VII 
                VIII 
                XV 
                X 
               
             
           
          
            * Relationship  
            
              
                 
		    Child 
		    Father 
		    Mother 
		    Other 
               
             
           
          
	         * Gender  
		 
		   
		      
		     Male 
		     Female 
               
             
           
          
		 Marital Status  
		 
		   
		      
		    Annullment 
		    Civil 
		    Deceased 
		    Divorced 
		    Engaged 
		    Marc 
		    Married 
		    Remarried 
		    Separated 
		    Single 
		    Single Parent 
		    Unsure 
		    Widow 
		    Widower 
		    
	          
           
          
             
	         * Phone 1  
            
              
		      
		    Father's Cell 
		    Mother's Cell 
               
             (   )
                 - 
                
                Unlisted 
             
           
          
             
            * Email 1  
            
		                    
		    father 
		    mother 
		    Work 
			       	 
			       	 
		                 
		                 Unlisted 
	            
           
          
             
           
          
             
            Spouse  
           
          
            Title  
          	 
          	   
          	      
          	     None 
          	     Mr. 
          	     Ms. 
          	     Mrs. 
          	    
             
              First Name  
             
              Last Name  
             
            Suffix  
            
              
                 
                None 
                Sr. 
                Jr. 
                II 
                III 
                IV 
                V 
                VI 
                VII 
                VIII 
                XV 
                X 
               
             
           
          
            Relationship  
            
              
                 
		    Child 
		    Father 
		    Mother 
		    Other 
               
             
            Maiden Name  
             
           
          
	         Gender  
		 
		   
		      
		     Male 
		     Female 
               
             
           
          
		 Marital Status  
		 
		   
		      
		    Annullment 
		    Civil 
		    Deceased 
		    Divorced 
		    Engaged 
		    Marc 
		    Married 
		    Remarried 
		    Separated 
		    Single 
		    Single Parent 
		    Unsure 
		    Widow 
		    Widower 
		    
	          
           
          
             
	           Phone 1  
            
              
		      
		    Father's Cell 
		    Mother's Cell 
               
             (   )
                 - 
                
                Unlisted 
             
           
          
             
              Email 1  
            
		                    
		    father 
		    mother 
		    Work 
			       	 
			       	 
		                 
		                 Unlisted 
	            
           
          
             
           
          
	          
		 Family Street Address  
	        
	       
	          
		 * Line 1  
             
	        
	       
	          
		 * City  
             
	        
	       
	          
		 * State  
                
		   
		      
		        
		         Alabama (AL) 
		         Alaska (AK) 
		         American Samoa (AS) 
		         Arizona (AZ) 
		         Arkansas (AR) 
		         California (CA) 
		         Colorado (CO) 
		         Connecticut (CT) 
		         Delaware (DE) 
		         District of Columbia (DC) 
		         Federated States of Micronesia (FM) 
		         Florida (FL) 
		         Georgia (GA) 
		         Guam (GU) 
		         Hawaii (HI) 
		         Idaho (ID) 
		         Illinois (IL) 
		         Indiana (IN) 
		         Iowa (IA) 
		         Kansas (KS) 
		         Kentucky (KY) 
		         Louisiana (LA) 
		         Maine (ME) 
		         Marshall Islands (MH) 
		         Maryland (MD) 
		         Massachusetts (MA) 
		         Michigan (MI) 
		         Minnesota (MN) 
		         Mississippi (MS) 
		         Missouri (MO) 
		         Montana (MT) 
		         Nebraska (NE) 
		         Nevada (NV) 
		         New Hampshire (NH) 
		         New Jersey (NJ) 
		         New Mexico (NM) 
		         New York (NY) 
		         North Carolina (NC) 
		         North Dakota (ND) 
		         Northern Mariana Islands (NP) 
		         Ohio (OH) 
		         Oklahoma (OK) 
		         Oregon (OR) 
		         Palau (PW) 
		         Pennsylvania (PA) 
		         Puerto Rico (PR) 
		         Rhode Island (RI) 
		         South Carolina (SC) 
		         South Dakota (SD) 
		         Tennessee (TN) 
		         Texas (TX) 
		         Utah (UT) 
		         Vermont (VT) 
		         Virgin Islands (VI) 
		         Virginia (VA) 
		         Washington (WA) 
		         West Virginia (WV) 
		         Wisconsin (WI) 
		         Wyoming (WY) 
                  
     	        
		         Alberta (AB) 
		         British Columbia (BC) 
		         Manitoba (MB) 
		         New Brunswick (NB) 
		         Newfoundland and Labrador (NL) 
		         Northwest Territories (NT) 
		         Nova Scotia (NS) 
		         Nunavut (NU) 
		         Prince Edward Island (PE) 
		         Saskatchewan (SK) 
		         Ontario (ON) 
		         Quebec (QC) 
		         Yukon (YT) 
                  
                   
     	         Other 
		       
		    
		  
	        
           
	          
		 * ZIP  
             
	        
          
	          
	          
           
	       
	          
		 Family Phone Numbers  
	        
	       
	          
		 * Primary  
            
              
		      
		    Father's Cell 
		    Mother's Cell 
               
              (   )
                  - 
                 
                 Unlisted 
             
           
	       
	          
		   Other  
            
              
		      
		    Father's Cell 
		    Mother's Cell 
               
              (   )
                  - 
                 
                 Unlisted 
             
           
	       
	          
		 Family Email Address  
	        
          
             
            * Email  
            
	                            
		    father 
		    mother 
		    Work 
			       	 
			       	 
		                 
		                 Unlisted 
	          
           
          
             
           
          
               
		      
		     
 Enroll Student 1          Do Not Enroll Student 1 
		      
               
            Student 1  
             
            
              
                 
            	 Head of Household 
            	 Spouse 
            	 Adult 
            	 Young Adult 
            	 Child 
            	 Other 
               
             
          
          
            * First Name  
             
            * Last Name  
             
           
          
            Relationship  
            
              
                 
		    Child 
		    Father 
		    Mother 
		    Other 
               
             
              Middle Name  
             
              Nickname  
             
           
          
	         * Birth Date  
		  
	         * Gender  
		 
		   
		      
		     Male 
		     Female 
               
             
           
          
	         * Grade/Degree  
		 
		   
		      
		    1 
		    2 
		    3 
		    4 
		    5 
		    6 
		    7 
		    8 
		    Kindergarten 
               
             
           
          
             
             
           
          
             
             
           
          
	          
	         Sacraments  
	           Name   
            Received  
            Date  
           
          
	      
	     * Baptism  
	     
	       
	          
	         Yes 
	         No 
	        
	      
	         
	           
	             MM 
	             01 
	             02 
	             03 
	             04 
	             05 
	             06 
	             07 
	             08 
	             09 
	             10 
	             11 
	             12 
	            
	           
	             DD 
	             01 
	             02 
	             03 
	             04 
	             05 
	             06 
	             07 
	             08 
	             09 
	             10 
	             11 
	             12 
	             13 
	             14 
	             15 
	             16 
	             17 
	             18 
	             19 
	             20 
	             21 
	             22 
	             23 
	             24 
	             25 
	             26 
	             27 
	             28 
	             29 
	             30 
	             31 
	            
	           
	             YYYY 
	             1905 
	             1906 
	             1907 
	             1908 
	             1909 
	             1910 
	             1911 
	             1912 
	             1913 
	             1914 
	             1915 
	             1916 
	             1917 
	             1918 
	             1919 
	             1920 
	             1921 
	             1922 
	             1923 
	             1924 
	             1925 
	             1926 
	             1927 
	             1928 
	             1929 
	             1930 
	             1931 
	             1932 
	             1933 
	             1934 
	             1935 
	             1936 
	             1937 
	             1938 
	             1939 
	             1940 
	             1941 
	             1942 
	             1943 
	             1944 
	             1945 
	             1946 
	             1947 
	             1948 
	             1949 
	             1950 
	             1951 
	             1952 
	             1953 
	             1954 
	             1955 
	             1956 
	             1957 
	             1958 
	             1959 
	             1960 
	             1961 
	             1962 
	             1963 
	             1964 
	             1965 
	             1966 
	             1967 
	             1968 
	             1969 
	             1970 
	             1971 
	             1972 
	             1973 
	             1974 
	             1975 
	             1976 
	             1977 
	             1978 
	             1979 
	             1980 
	             1981 
	             1982 
	             1983 
	             1984 
	             1985 
	             1986 
	             1987 
	             1988 
	             1989 
	             1990 
	             1991 
	             1992 
	             1993 
	             1994 
	             1995 
	             1996 
	             1997 
	             1998 
	             1999 
	             2000 
	             2001 
	             2002 
	             2003 
	             2004 
	             2005 
	             2006 
	             2007 
	             2008 
	             2009 
	             2010 
	             2011 
	             2012 
	             2013 
	             2014 
	             2015 
	             2016 
	             2017 
	             2018 
	             2019 
	             2020 
	             2021 
	             2022 
	             2023 
	             2024 
	             2025 
	             2026 
	             2027 
	             2028 
	             2029 
	             2030 
	             2031 
	             2032 
	             2033 
	             2034 
	             2035 
	             2036 
	             2037 
	             2038 
	             2039 
	             2040 
	             2041 
	             2042 
	             2043 
	             2044 
	             2045 
	             2046 
	             2047 
	             2048 
	             2049 
	             2050 
	             2051 
	             2052 
	             2053 
	             2054 
	             2055 
	             2056 
	             2057 
	             2058 
	             2059 
	             2060 
	             2061 
	             2062 
	             2063 
	             2064 
	             2065 
	             2066 
	             2067 
	             2068 
	             2069 
	             2070 
	             2071 
	             2072 
	             2073 
	             2074 
	             2075 
	             2076 
	             2077 
	             2078 
	             2079 
	             2080 
	             2081 
	             2082 
	             2083 
	             2084 
	             2085 
	             2086 
	             2087 
	             2088 
	             2089 
	             2090 
	             2091 
	             2092 
	             2093 
	             2094 
	             2095 
	             2096 
	             2097 
	             2098 
	             2099 
	             2100 
	             2101 
	             2102 
	             2103 
	             2104 
	             2105 
	             2106 
	             2107 
	             2108 
	             2109 
	             2110 
	             2111 
	             2112 
	             2113 
	             2114 
	             2115 
	             2116 
	             2117 
	             2118 
	             2119 
	             2120 
	             2121 
	             2122 
	             2123 
	             2124 
	             2125 
	             2126 
	             2127 
	             2128 
	             2129 
	             2130 
	             2131 
	             2132 
	             2133 
	             2134 
	             2135 
	             2136 
	             2137 
	             2138 
	             2139 
	             2140 
	             2141 
	             2142 
	             2143 
	             2144 
	             2145 
	            
            
          
	      
	     * First Communion  
	     
	       
	          
	         Yes 
	         No 
	        
	      
	         
	           
	             MM 
	             01 
	             02 
	             03 
	             04 
	             05 
	             06 
	             07 
	             08 
	             09 
	             10 
	             11 
	             12 
	            
	           
	             DD 
	             01 
	             02 
	             03 
	             04 
	             05 
	             06 
	             07 
	             08 
	             09 
	             10 
	             11 
	             12 
	             13 
	             14 
	             15 
	             16 
	             17 
	             18 
	             19 
	             20 
	             21 
	             22 
	             23 
	             24 
	             25 
	             26 
	             27 
	             28 
	             29 
	             30 
	             31 
	            
	           
	             YYYY 
	             1905 
	             1906 
	             1907 
	             1908 
	             1909 
	             1910 
	             1911 
	             1912 
	             1913 
	             1914 
	             1915 
	             1916 
	             1917 
	             1918 
	             1919 
	             1920 
	             1921 
	             1922 
	             1923 
	             1924 
	             1925 
	             1926 
	             1927 
	             1928 
	             1929 
	             1930 
	             1931 
	             1932 
	             1933 
	             1934 
	             1935 
	             1936 
	             1937 
	             1938 
	             1939 
	             1940 
	             1941 
	             1942 
	             1943 
	             1944 
	             1945 
	             1946 
	             1947 
	             1948 
	             1949 
	             1950 
	             1951 
	             1952 
	             1953 
	             1954 
	             1955 
	             1956 
	             1957 
	             1958 
	             1959 
	             1960 
	             1961 
	             1962 
	             1963 
	             1964 
	             1965 
	             1966 
	             1967 
	             1968 
	             1969 
	             1970 
	             1971 
	             1972 
	             1973 
	             1974 
	             1975 
	             1976 
	             1977 
	             1978 
	             1979 
	             1980 
	             1981 
	             1982 
	             1983 
	             1984 
	             1985 
	             1986 
	             1987 
	             1988 
	             1989 
	             1990 
	             1991 
	             1992 
	             1993 
	             1994 
	             1995 
	             1996 
	             1997 
	             1998 
	             1999 
	             2000 
	             2001 
	             2002 
	             2003 
	             2004 
	             2005 
	             2006 
	             2007 
	             2008 
	             2009 
	             2010 
	             2011 
	             2012 
	             2013 
	             2014 
	             2015 
	             2016 
	             2017 
	             2018 
	             2019 
	             2020 
	             2021 
	             2022 
	             2023 
	             2024 
	             2025 
	             2026 
	             2027 
	             2028 
	             2029 
	             2030 
	             2031 
	             2032 
	             2033 
	             2034 
	             2035 
	             2036 
	             2037 
	             2038 
	             2039 
	             2040 
	             2041 
	             2042 
	             2043 
	             2044 
	             2045 
	             2046 
	             2047 
	             2048 
	             2049 
	             2050 
	             2051 
	             2052 
	             2053 
	             2054 
	             2055 
	             2056 
	             2057 
	             2058 
	             2059 
	             2060 
	             2061 
	             2062 
	             2063 
	             2064 
	             2065 
	             2066 
	             2067 
	             2068 
	             2069 
	             2070 
	             2071 
	             2072 
	             2073 
	             2074 
	             2075 
	             2076 
	             2077 
	             2078 
	             2079 
	             2080 
	             2081 
	             2082 
	             2083 
	             2084 
	             2085 
	             2086 
	             2087 
	             2088 
	             2089 
	             2090 
	             2091 
	             2092 
	             2093 
	             2094 
	             2095 
	             2096 
	             2097 
	             2098 
	             2099 
	             2100 
	             2101 
	             2102 
	             2103 
	             2104 
	             2105 
	             2106 
	             2107 
	             2108 
	             2109 
	             2110 
	             2111 
	             2112 
	             2113 
	             2114 
	             2115 
	             2116 
	             2117 
	             2118 
	             2119 
	             2120 
	             2121 
	             2122 
	             2123 
	             2124 
	             2125 
	             2126 
	             2127 
	             2128 
	             2129 
	             2130 
	             2131 
	             2132 
	             2133 
	             2134 
	             2135 
	             2136 
	             2137 
	             2138 
	             2139 
	             2140 
	             2141 
	             2142 
	             2143 
	             2144 
	             2145 
	            
            
          
	      
	     * Confirmation  
	     
	       
	          
	         Yes 
	         No 
	        
	      
	         
	           
	             MM 
	             01 
	             02 
	             03 
	             04 
	             05 
	             06 
	             07 
	             08 
	             09 
	             10 
	             11 
	             12 
	            
	           
	             DD 
	             01 
	             02 
	             03 
	             04 
	             05 
	             06 
	             07 
	             08 
	             09 
	             10 
	             11 
	             12 
	             13 
	             14 
	             15 
	             16 
	             17 
	             18 
	             19 
	             20 
	             21 
	             22 
	             23 
	             24 
	             25 
	             26 
	             27 
	             28 
	             29 
	             30 
	             31 
	            
	           
	             YYYY 
	             1905 
	             1906 
	             1907 
	             1908 
	             1909 
	             1910 
	             1911 
	             1912 
	             1913 
	             1914 
	             1915 
	             1916 
	             1917 
	             1918 
	             1919 
	             1920 
	             1921 
	             1922 
	             1923 
	             1924 
	             1925 
	             1926 
	             1927 
	             1928 
	             1929 
	             1930 
	             1931 
	             1932 
	             1933 
	             1934 
	             1935 
	             1936 
	             1937 
	             1938 
	             1939 
	             1940 
	             1941 
	             1942 
	             1943 
	             1944 
	             1945 
	             1946 
	             1947 
	             1948 
	             1949 
	             1950 
	             1951 
	             1952 
	             1953 
	             1954 
	             1955 
	             1956 
	             1957 
	             1958 
	             1959 
	             1960 
	             1961 
	             1962 
	             1963 
	             1964 
	             1965 
	             1966 
	             1967 
	             1968 
	             1969 
	             1970 
	             1971 
	             1972 
	             1973 
	             1974 
	             1975 
	             1976 
	             1977 
	             1978 
	             1979 
	             1980 
	             1981 
	             1982 
	             1983 
	             1984 
	             1985 
	             1986 
	             1987 
	             1988 
	             1989 
	             1990 
	             1991 
	             1992 
	             1993 
	             1994 
	             1995 
	             1996 
	             1997 
	             1998 
	             1999 
	             2000 
	             2001 
	             2002 
	             2003 
	             2004 
	             2005 
	             2006 
	             2007 
	             2008 
	             2009 
	             2010 
	             2011 
	             2012 
	             2013 
	             2014 
	             2015 
	             2016 
	             2017 
	             2018 
	             2019 
	             2020 
	             2021 
	             2022 
	             2023 
	             2024 
	             2025 
	             2026 
	             2027 
	             2028 
	             2029 
	             2030 
	             2031 
	             2032 
	             2033 
	             2034 
	             2035 
	             2036 
	             2037 
	             2038 
	             2039 
	             2040 
	             2041 
	             2042 
	             2043 
	             2044 
	             2045 
	             2046 
	             2047 
	             2048 
	             2049 
	             2050 
	             2051 
	             2052 
	             2053 
	             2054 
	             2055 
	             2056 
	             2057 
	             2058 
	             2059 
	             2060 
	             2061 
	             2062 
	             2063 
	             2064 
	             2065 
	             2066 
	             2067 
	             2068 
	             2069 
	             2070 
	             2071 
	             2072 
	             2073 
	             2074 
	             2075 
	             2076 
	             2077 
	             2078 
	             2079 
	             2080 
	             2081 
	             2082 
	             2083 
	             2084 
	             2085 
	             2086 
	             2087 
	             2088 
	             2089 
	             2090 
	             2091 
	             2092 
	             2093 
	             2094 
	             2095 
	             2096 
	             2097 
	             2098 
	             2099 
	             2100 
	             2101 
	             2102 
	             2103 
	             2104 
	             2105 
	             2106 
	             2107 
	             2108 
	             2109 
	             2110 
	             2111 
	             2112 
	             2113 
	             2114 
	             2115 
	             2116 
	             2117 
	             2118 
	             2119 
	             2120 
	             2121 
	             2122 
	             2123 
	             2124 
	             2125 
	             2126 
	             2127 
	             2128 
	             2129 
	             2130 
	             2131 
	             2132 
	             2133 
	             2134 
	             2135 
	             2136 
	             2137 
	             2138 
	             2139 
	             2140 
	             2141 
	             2142 
	             2143 
	             2144 
	             2145 
	            
            
          
             
            * Class Choices  
           
          
             
            * Class 1  
            
              
                 
               
             
           
           
	       
	          
		 Student Remarks  
	        
          
             
              General Remarks  
            
              
             
           
              
                 
                * Allergies  
                
                  
                 
               
              
                 
                * Medical Conditions  
                
                  
                 
               
              
                 
                * Behavioral/Learning