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HOME
ABOUT
Staff
Parish Registration
Mass Times
Confession Times
Adoration
Bulletins
SACRAMENTS
Baptism
FAITH FORMATION
St. Catherine Religious Education
MINISTRIES
Knights of Columbus
THE THREE HEARTS ACADEMY
Registration
Mission
Raising Saints!
Academy Program
News
Contact Us
Events & News
Live-streaming
Calendar
News
Academy Registration Form 2022-2023
THE THREE HEARTS ACADEMY
Registration
Mission
Raising Saints!
Academy Program
News
Contact Us
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FAMILY NAME
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Registered at St. Catherine's Parish?
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No, but send us the registration info
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Parent/Guardian (#1)
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First Last name (and Religion on line below)
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Phone Number #1
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Preferred Email
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Parent/Guardian (#2)
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First Last name (and Religion on line below)
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Phone Number #2
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Second Email
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Emergency Contact
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(if guardian is unavailable) Name (first, last); Relationship; Address; Phone number
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Current Homeschooling Family?
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No
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Enrollment Option:
Mondays Only Enrichment
Full Academic (all 3 days)
CHILDREN ENROLLING
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Child 1
Name
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Date of Birth
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Gender
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Upcoming Grade ('22-'23)
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3rd
4th
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Religion
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Sacraments received:
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Baptism
Confession/Reconciliation
First Holy Communion
Confirmation
Learning Abilities/Challenges?
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Health Concerns/Allergies?
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Including medical issues, ADHD, etc.
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Child 2
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Upcoming Grade ('22-'23)
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Religion
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Sacraments received:
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Baptism
Confession/Reconciliation
First Holy Communion
Confirmation
Learning Abilities/Challenges?
Including issues that moght disrupt school time, ADHD, dyslexia, repeat a grade, skipped a grade, etc.
Health Concerns/Allergies?
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Including medical issues, ADHD, etc.
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Child 3
Name
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Date of Birth
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Gender
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Upcoming Grade ('22-'23)
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Pre-K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
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Religion
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Sacraments received:
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Baptism
Confession/Reconciliation
First Holy Communion
Confirmation
Learning Abilities/Challenges?
Including issues that moght disrupt school time, ADHD, dyslexia, repeat a grade, skipped a grade, etc.
Health Concerns/Allergies?
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Including medical issues, ADHD, etc.
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Child 4
Name
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Date of Birth
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Gender
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Male
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Upcoming Grade ('22-'23)
REQUIRED
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Pre-K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
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Religion
REQUIRED
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Please enter valid data.
Sacraments received:
List all the sacraments your child has already received.
Baptism
Confession/Reconciliation
First Holy Communion
Confirmation
Learning Abilities/Challenges?
Including issues that moght disrupt school time, ADHD, dyslexia, repeat a grade, skipped a grade, etc.
Health Concerns/Allergies?
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Including medical issues, ADHD, etc.
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Child 5
Name
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Date of Birth
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Gender
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(Select One)
Male
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Upcoming Grade ('22-'23)
REQUIRED
(Select One)
Pre-K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
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Religion
REQUIRED
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Please enter valid data.
Sacraments received:
List all the sacraments your child has already received.
Baptism
Confession/Reconciliation
First Holy Communion
Confirmation
Learning Abilities/Challenges?
Including issues that moght disrupt school time, ADHD, dyslexia, repeat a grade, skipped a grade, etc.
Health Concerns/Allergies?
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Including medical issues, ADHD, etc.
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Child 6
Name
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Date of Birth
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Gender
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Upcoming Grade ('22-'23)
REQUIRED
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Pre-K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
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Religion
REQUIRED
Please fill out this field.
Please enter valid data.
Sacraments received:
List all the sacraments your child has already received.
Baptism
Confession/Reconciliation
First Holy Communion
Confirmation
Learning Abilities/Challenges?
Including issues that moght disrupt school time, ADHD, dyslexia, repeat a grade, skipped a grade, etc.
Health Concerns/Allergies?
REQUIRED
Including medical issues, ADHD, etc.
Please fill out this field.
Child 7
Name
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Date of Birth
REQUIRED
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Gender
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Male
Female
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Upcoming Grade ('22-'23)
REQUIRED
(Select One)
Pre-K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
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Religion
REQUIRED
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Please enter valid data.
Sacraments received:
List all the sacraments your child has already received.
Baptism
Confession/Reconciliation
First Holy Communion
Confirmation
Learning Abilities/Challenges?
Including issues that moght disrupt school time, ADHD, dyslexia, repeat a grade, skipped a grade, etc.
Health Concerns/Allergies?
REQUIRED
Including medical issues, ADHD, etc.
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NURSERY CHILDREN
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Child 1
Name
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Date of Birth
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Gender
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Health Concerns/Allergies?
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Child 2
Name
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Date of Birth
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Gender
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Health Concerns/Allergies?
Including medical issues, ADHD, etc.
Child 3
Name
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Date of Birth
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Gender
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Health Concerns/Allergies?
Including medical issues, ADHD, etc.
VOLUNTEERING/HELP:
Other Information?
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Tuition Payment Preference
REQUIRED
Tuition begins to be due: Friday, August 5, 2022
(Select One)
Lump Sum
Quarterly (4 equal payments of family's total)
10 monthly payments (due 1st Friday of the month, starting 8/5/22)
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Auto Reply Email (if desired)
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Today's Date
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