Registration

St. Peter's School Registration 2023-2024

* Indicates required field

Student's Name *

First

Last

Birthdate (mm/dd/yy) *

Grade 2023-2024 *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Mom's Name *

First

Last

Mom's Address (if different than above) *

Line 1

Line 2

City

State

Zip Code

Country

Mom's Email *

Mom's Phone Number *

Dad's Name *

First

Last

Dad's Address (if different than above) *

Line 1

Line 2

City

State

Zip Code

Country

Dad's Email *

Dad's Phone Number *

Conditions Requiring Special Emergency Care (select all that apply) *

Describe any allergies or special care selected above. *

Submit