EmailMe Form - PAS 2024-2025 Registration Application

CHILD INFORMATION

Complete a separate form for each child applying.

*ALL CHILDREN MUST HAVE A CURRENT GA IMMUNIZATION FORM 3231 TO ATTEND.

Name *

First Last

Preferred First Name (if applicable)

Date of Birth *

MM / DD / YYYY

* Please double check that you have entered the correct year for your child's birth date.

Gender *

My child is (please select one)... *

CLASS SELECTION

Child must be age of class by Sept. 1, 2024, unless otherwise stated. All children registering for the Toddler classes must be walking and all children registering for the 3s classes and older must be potty trained.

Final class assignments are subject to teacher and administration discretion.

* If your first, second and third choice classes are full and you wish to be placed on the wait list, please continue to fill out the application and submit but do not pay the registration fee at the end.

First Choice *

Second Choice *

Third Choice *

My Child will be 5 years old by January 1, 2025. *

Yes

No

5s CLASS CHOICE PARENT QUESTIONNAIRE - Select the category which most accurately describes your child in each situation.

	Not Yet	Some of the time	Most of the time	Mastered
Completes tasks when asked the first time.
Answers questions when asked the first time.
Works independently.
Dresses himself: coat, socks, shoes.
Tells full name when asked.
Recognizes first name by sight.
Listens with interest, to short story (10 min or more).

PARENT/GUARDIAN RESIDENCE INFORMATION

If you are a current PAS family, has your address recently changed? *

Street Address *

Street Address Line 2

City *

State *

Zip *

Subdivision

County *

Public Elementary School Zoned to attend *

Home Email *

This is the email address to which we will send all school communication.

Home Phone *

### - ### - ####

Religious Affiliation *

Other Catholic Parish

Other Religious Affiliation

PARENT/GUARDIAN CONTACT INFORMATION

Mother's Name *

First Last

Mother's Email *

Mother's Cell *

### - ### - ####

Mother's Place of Employment *

Mother's Work Phone

### - ### - ####

Father's Name *

First Last

Father's Email *

Father's Cell *

### - ### - ####

Father's Place of Employment *

Father's Work Phone

### - ### - ####

SIBLING INFORMATION

1. Sibling Name

First Last

1. Age as of 9/1/24

1. Applying to Preschool at All Saints

Yes

No

2. Sibling Name

First Last

2. Age as of 9/1/24

2. Applying to Preschool at All Saints

Yes

No

3. Sibling Name

First Last

3. Age as of 9/1/24

3. Applying to Preschool at All Saints

Yes

No

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