PreSchool Enrollment Form Please complete the form below to enroll your child in St. Edward On The Lake School’s PreSchool Program. Your email address (for confirmation email) School Year Entry Date (today's date): Child's Age on September 1, 2021: Catholic? NoYes If yes, what is your home parish? Which preschool program are you enrolling your child in? Monday-Friday Full DayMonday-Friday Half DayMonWedFri Full DayMonWedFri Half DayTuesdayThursday Full DayTuesdayThursday Half Day Student: First Name Miiddle Name Last Name Sex FemaleMale Date of Birth (mm/dd/yyyy) Address (number and street) City State (initials) Zip Code Did you attend another preschool? NoYes If yes, what preschool? How long? Special needs, allergies, etc.? Place of Birth: Legal/Custodial Parent Fathers Name Fathers Home Phone Fathers Work Phone If Father's Address is the same as the child's, check this box and skip down to 'Father's Occupation' Fathers Address Same Fathers Street Address Fathers City Fathers State Fathers Zip Code Fathers Occupation Fathers Religious Denomination Fathers Country of Birth Fathers Email Address Mothers Name Mothers Maiden Name Mothers Home Phone Mothers Work Phone If Mother's Address is the same as the child's, check this box and skip down to 'Mother's Occupation' Mothers Address Same Mothers Street Address Mothers City Mothers State Mothers Zip Code Mothers Occupation Mothers Religious Denomination Mothers Country of Birth Mothers Email Address Marital Status MarriedSeparatedDivorced Other Children Child 1 Name Child 1 Date of Birth (mm/dd/yyyy) Child 2 Name Child 2 Date of Birth (mm/dd/yyyy) Child 3 Name Child 3 Date of Birth (mm/dd/yyyy) Child 4 Name Child 4 Date of Birth (mm/dd/yyyy)