New Student Inquiry

New Student Inquiry
Sacred Heart School

701 Franklin Street

West Reading, PA 19611

610-373-3316
Date *

Month Day Year
Date
PARENT INFORMATION
Parent Last Name *
Parent First Name *
M.I.
Email Address *
Street Address
Street Address Line 2
City
State
Zip Code
Home Phone Number *
Cell Phone Number
Primary Residence Information (if different from above)
Street Address
Street Address Line 2
City
State
Zip Code

Last Name of Child *
First Name of Child *
Birth date *

Month Day Year
Date
Grade *
As of 20__ *
Last Name of Child
First Name of Child
Birth date

Month Day Year
Date
Grade
As of 20_ _
Notes:
How did you hear about Sacred Heart?
Is Family a member of the Parish? *

YES NO
Do you know any current school families?

YES NO
Family name you know at Sacred Heart
Would you like a tour of the school?

YES NO
Appointment

Enrollment History
Previous School 1
School Name *
City
State
Date Started

Month Day Year
Date
Date Ended

Month Day Year
Date
Previous School 2
School Name
City
State
Date Started

Month Day Year
Date
Date Ended

Month Day Year
Date
Notes
Please inform the office of any other vital information you think we may need to know. Thank you.

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