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STUDENTS
PARENTS
ADMISSIONS
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Kindergarten Program
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FORMS: Parent & Student Information
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Happy 2022-2023 School Year! It is time for the yearly forms. We have worked hard to make the process electronic and as efficient as possible! This process may take some time and you will need your students at points to complete the process. Once you are done with one form you will be taken directly to the next form. Signatures may be done with the mouse of your computer or with your finger on an electronic device. Thanks again for your time!
Name of person filling out this form:
*
Relationship to Students
Email Address for confirmation form:
*
Student Residence
*
Please only choose one:
Mom and Dad are at the same address
Mom and Dad are at different addresses
Parent or Guardian Information
Student Lives with (check all that apply)
Mother and Father
Mother
Father
Mother / Step-Father
Father / Step-mother
Grandparent
Foster Care
Legal Guardian
Other
Please check all that apply.
Mother or Father is deceased
Mother or Father is incarcerated
Parents never married; no custody order exists
Separated, but not legally divorced
Divorced. Full Custody granted to:
Divorced Shared Parenting *
Divorced. Residential parent for SCHOOL purposes.*
Court Placed*
(If the student lives with BOTH mother and father whom are married, this section can be skipped.)
Father/Guardian Information
Father/Guardian Name
First
Last
Father's/Guardian Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Father's/Guardian Mobile Phone
Father's/Guardian Home Phone
Father's/Guardian Email
Stepmother
First
Last
Father's/Guardian work information:
My employer/business provides services or products that the school or families from the school may benefit from.
My employer/business offers a matching giving program.
Occupation
Employer/Business
Mother Information
Mom/Guardian Name
First
Last
Mother's/Guardian Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Mother/Guardian Mobile Phone
Mother's/Guardian Home Phone
Mother's/Guardian Email
Stepfather
First
Last
Mother's/Guardian work information:
My employer/business provides services or products that the school or families from the school may benefit from.
My employer/business offers a matching giving program.
Mother's/Guardian Occupation
Mother's/Guardian Employer/Business
Family Information
Family/Guardian Home Phone
Family/Guardian Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Student Information
Please be sure to list students oldest to youngest.
How many students do you have at St. Francis de Sales Parish School?
*
1
2
3
4
5
6
7
8
Media Release for my students:
*
I GRANT permission to the St. Francis de Sales to use my child's name, photograph, slide, audio, and/or video recording in it's media.
I DENY releases (including newspaper articles; ex: honor roll, graduation, etc.), school publications, presentations and/or web pages.
Please list students oldest to youngest. Thank you!
Oldest Student
First
Last
Grade
Oldest Student Teacher
Pre-a Miss Jamie Dean
Pre-b Mrs. Janine Twigg
K - a Mrs. Stephanie Griffin
K - b Mrs. Eileen Gleixner
1 - a Miss Kennedy Papp
1 - b Mrs. Christina Gilbert
2 - a Miss Maria Knight
2 - b Mrs Roumfort
3 - a Mrs. Samantha Stevenson
3 - b Mrs. Brandi Shankel
4 - a Mrs. Terri Reece
4 - b Miss Madelyn Stecz
5 - a Mrs. Colleen Maglio
5 - b Ms. Kathleen Hancock
6 - a Mr. Thomas Houghtaling
6 - b Mrs. Shelley Speranzini
7 - a Mr. Nick Modugno
7 - b Mrs. Julie Kish
8 - a Mrs. Renee Fraleigh
8 - b Ms. Mary Alice Getzinger
Mrs. Dougherty
Oldest Student Birthday
MM slash DD slash YYYY
2nd Child
First
Last
Grade
2nd Child Teacher
Pre-a Miss Jamie Dean
Pre-b Mrs. Janine Twigg
K - a Mrs. Stephanie Griffin
K - b Mrs. Eileen Gleixner
1 - a Miss Kennedy Papp
1 - b Mrs. Christina Gilbert
2 - a Miss Maria Knight
2 - b Miss Kelly Robinson
3 - a Mrs. Samantha Stevenson
3 - b Mrs. Brandi Shankel
4 - a Mrs. Terri Reece
4 - b Miss Madelyn Stecz
5 - a Mrs. Colleen Maglio
5 - b Ms. Kathleen Hancock
6 - a Mr. Thomas Houghtaling
6 - b Mrs. Shelley Speranzini
7 - a Mr. Nick Modugno
7 - b Mrs. Julie Kish
8 - a Mrs. Renee Fraleigh
8 - b Ms. Mary Alice Getzinger
Mrs. Dougherty
2nd Student Birthday
MM slash DD slash YYYY
3rd Child
First
Last
Grade
3 rd Child Teacher
Pre-a Miss Jamie Dean
Pre-b Mrs. Janine Twigg
K - a Mrs. Stephanie Griffin
K - b Mrs. Eileen Gleixner
1 - a Miss Kennedy Papp
1 - b Mrs. Christina Gilbert
2 - a Miss Maria Knight
2 - b Mrs Roumfort
3 - a Mrs. Samantha Stevenson
3 - b Mrs. Brandi Shankel
4 - a Mrs. Terri Reece
4 - b Miss Madelyn Stecz
5 - a Mrs. Colleen Maglio
5 - b Ms. Kathleen Hancock
6 - a Mr. Thomas Houghtaling
6 - b Mrs. Shelley Speranzini
7 - a Mr. Nick Modugno
7 - b Mrs. Julie Kish
8 - a Mrs. Renee Fraleigh
8 - b Ms. Mary Alice Getzinger
Mrs. Dougherty
3rd Child Birthday
MM slash DD slash YYYY
4th Child
First
Last
Grade
4th Child Teacher
Pre-a Miss Jamie Dean
Pre-b Mrs. Janine Twigg
K - a Mrs. Stephanie Griffin
K - b Mrs. Eileen Gleixner
1 - a Miss Kennedy Papp
1 - b Mrs. Christina Gilbert
2 - a Miss Maria Knight
2 - b Miss Kelly Robinson
3 - a Mrs. Samantha Stevenson
3 - b Mrs. Brandi Shankel
4 - a Mrs. Terri Reece
4 - b Miss Madelyn Stecz
5 - a Mrs. Colleen Maglio
5 - b Ms. Kathleen Hancock
6 - a Mr. Thomas Houghtaling
6 - b Mrs. Shelley Speranzini
7 - a Mr. Nick Modugno
7 - b Mrs. Julie Kish
8 - a Mrs. Renee Fraleigh
8 - b Ms. Mary Alice Getzinger
Mrs. Dougherty
4th Child Birthday
MM slash DD slash YYYY
5th Child
First
Last
Grade
5th Child Teacher
Pre-a Miss Jamie Dean
Pre-b Mrs. Janine Twigg
K - a Mrs. Stephanie Griffin
K - b Mrs. Eileen Gleixner
1 - a Miss Kennedy Papp
1 - b Mrs. Christina Gilbert
2 - a Miss Maria Knight
2 - b Mrs Roumfort
3 - a Mrs. Samantha Stevenson
3 - b Mrs. Brandi Shankel
4 - a Mrs. Terri Reece
4 - b Miss Madelyn Stecz
5 - a Mrs. Colleen Maglio
5 - b Ms. Kathleen Hancock
6 - a Mr. Thomas Houghtaling
6 - b Mrs. Shelley Speranzini
7 - a Mr. Nick Modugno
7 - b Mrs. Julie Kish
8 - a Mrs. Renee Fraleigh
8 - b Ms. Mary Alice Getzinger
Mrs. Dougherty
5th Child Birthday
MM slash DD slash YYYY
6th Child
First
Last
Grade
6th Child Teacher
Pre-a Miss Jamie Dean
Pre-b Mrs. Janine Twigg
K - a Mrs. Stephanie Griffin
K - b Mrs. Eileen Gleixner
1 - a Miss Kennedy Papp
1 - b Mrs. Christina Gilbert
2 - a Miss Maria Knight
2 - b Mrs Roumfort
3 - a Mrs. Samantha Stevenson
3 - b Mrs. Brandi Shankel
4 - a Mrs. Terri Reece
4 - b Miss Madelyn Stecz
5 - a Mrs. Colleen Maglio
5 - b Ms. Kathleen Hancock
6 - a Mr. Thomas Houghtaling
6 - b Mrs. Shelley Speranzini
7 - a Mr. Nick Modugno
7 - b Mrs. Julie Kish
8 - a Mrs. Renee Fraleigh
8 - b Ms. Mary Alice Getzinger
Mrs. Dougherty
6th Child Birthday
MM slash DD slash YYYY
7th Child
First
Last
Grade
7th Child Teacher
Pre-a Miss Jamie Dean
Pre-b Mrs. Janine Twigg
K - a Mrs. Stephanie Griffin
K - b Mrs. Eileen Gleixner
1 - a Miss Kennedy Papp
1 - b Mrs. Christina Gilbert
2 - a Miss Maria Knight
2 - b Mrs Roumfort
3 - a Mrs. Samantha Stevenson
3 - b Mrs. Brandi Shankel
4 - a Mrs. Terri Reece
4 - b Miss Madelyn Stecz
5 - a Mrs. Colleen Maglio
5 - b Ms. Kathleen Hancock
6 - a Mr. Thomas Houghtaling
6 - b Mrs. Shelley Speranzini
7 - a Mr. Nick Modugno
7 - b Mrs. Julie Kish
8 - a Mrs. Renee Fraleigh
8 - b Ms. Mary Alice Getzinger
Mrs. Dougherty
7th Child Birthday
MM slash DD slash YYYY
8th Child
First
Last
Grade
8th Child Teacher
Pre-a Miss Jamie Dean
Pre-b Mrs. Janine Twigg
K - a Mrs. Stephanie Griffin
K - b Mrs. Eileen Gleixner
1 - a Miss Kennedy Papp
1 - b Mrs. Christina Gilbert
2 - a Miss Maria Knight
2 - b Mrs Roumfort
3 - a Mrs. Samantha Stevenson
3 - b Mrs. Brandi Shankel
4 - a Mrs. Terri Reece
4 - b Miss Madelyn Stecz
5 - a Mrs. Colleen Maglio
5 - b Ms. Kathleen Hancock
6 - a Mr. Thomas Houghtaling
6 - b Mrs. Shelley Speranzini
7 - a Mr. Nick Modugno
7 - b Mrs. Julie Kish
8 - a Mrs. Renee Fraleigh
8 - b Ms. Mary Alice Getzinger
Mrs. Dougherty
8th Child Birthday
MM slash DD slash YYYY
What School District do the students reside in?
Custody Information
Is there paperwork on the file restricting the non-custodial parent? *
Yes
No
*Court papers documenting legal custody are required upon registration / enrollment. Visitation schedule should also be included. Any change of custody/guardianship documents are required within 60 days.
File
Drop files here or
Select files
Max. file size: 32 MB.
Parent / Guardian Signature
I certify that the above information is true and accurate. I understand that if this information is false, my child(ren) could be withdrawn from school and I could face possible legal charges filed in a court of appropriate jurisdiction.
Custody Signature Date
MM slash DD slash YYYY
Thank you!
Did you have any issues about this form while filling it out?
Yes
No
Thanks for the heads up!
Thank you for letting us that you had an issue, please explain the issue or let us know your question!
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4009 Manchester Road
Akron, OH 44319
Ph: 330.644.2225
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