Mater Dei Catholic Elementary School

Student Information

Student's Legal Name

First

Middle

Last

Date of Birth

mm/dd/yyyy

Gender of Student

Applying For:

Applying For Which Year

Applying For Grade

Current School

Please specify current school

Mater Dei Catholic Elementary School is a dual immersion school with a 50/50 English and Spanish program.

Is the student bilingual and able to read, write, and speak in both English and Spanish?

Yes No

Primary Household

Primary Home Address

First Parent or Guardian in Primary Household

Name

Title

First

Middle

Last

Suffix

Preferred Name

Relationship to Student

Cell Phone

Type

Number

Primary Email

Second Parent or Guardian in Primary Household

Is there a second parent or legal guardian in this household?

Yes No

Name

Title

First

Middle

Last

Suffix

Preferred Name

Relationship to Student

Cell Phone

Type

Number

Primary Email

Additional Guardianship Information

Does the student have an additional household with legal guardianship?

Yes No

Additional Home Address

Primary Parent or Guardian in Household

Name

Title

First

Middle

Last

Suffix

Preferred Name

Relationship to Student

Cell Phone

Type

Number

Primary Email

Second Parent or Guardian in Household

Is there a second parent or legal guardian in this household?

Yes No

Name

Title

First

Middle

Last

Suffix

Preferred Name

Relationship to Student

Cell Phone

Type

Number

Primary Email

Thanks for reaching out! Out of curiosity...

Does the student have any relatives (including parents) who currently attend, have attended or have graduated from our school (Mater Dei Catholic Elementary School or Mater Dei Catholic High School/Marian Catholic High School)?

Yes No

Name

Title

First

Middle

Last

Suffix

Preferred Name

Years Attended

How did you hear about Mater Dei Catholic Elementary School?

Please specify