Little Saints Learning Center
Baby Saints Application Form
□
□
Baby Saints Infant Program (must be 6 weeks old by August 1st)
Baby Saints Toddler Program (must be at least 12 months old by August 31st)
Applicant
Last
Applying for academic year 20___ - 20___
First
Middle
Nickname
M/F
_____________________________________________________________________________________________
Date of Birth: MM/DD/YY
Religious Affiliation (optional)
_____________________________________________________________________________________________
Address
City
State
Zip Code
Home Phone
_____________________________________________________________________________________________
Current/Previous Schools Attended
Address
Phone Number
Dates
How did you hear about St. Paul’s Baby Saints? ______________________________________________________
Do you have family or friends who attend St. Paul’s? ___________________________________________________
□ Yes
Does your child have health conditions or special needs?
□ No
(If yes, please explain. Use reverse side if needed.)
Baby Saints Days: The Baby Saints Program offers a 5 full day option.
Family Information
Child lives with
□ Both parents
□ Father
□ Mother
□ Other_______________
(Please use reverse side if needed.)
Father of Student
______________________________________________________________________________________
Title
First Name
Middle
Last Name
Preferred name
______________________________________________________________________________________
Occupation/Employer
Home Phone
Office Phone
Cell Phone
E-Mail
______________________________________________________________________________________
Address (If different from applicant’s)
Mother of Student
______________________________________________________________________________________
Title
First Name
Middle
Last Name
Preferred name
______________________________________________________________________________________
Occupation/Employer
Home Phone
Office Phone
Cell Phone
E-Mail
______________________________________________________________________________________
Address (if different from applicant’s)
Siblings
_________________________________________________________________________________________________
Name
School
Grade
Birthdate
_________________________________________________________________________________________________
Name
School
Grade
Birthdate
Admissions Information
I have toured the Baby Saints Program.
Y
N
Program Information
For more information, please contact Melissa Pearson ([email protected]) Coordinator of Baby Saints
at (504) 488-1319.
Parents and applicants for St. Paul’s Baby Saints will need to apply, tour, interview, and pay a non-refundable fee of
$30.
Parents who wish their son(s) or daughter(s) to continue at St. Paul’s School for Little Saints or Pre-Kindergarten – 8
grade must apply and follow admission procedures by contacting the Director of Admissions for those programs at
(504) 488-1319.
th
______________________________________________________________________________________
Signature of Parent/Guardian
Today’s Date
(Please attach a photograph of your child with application)
Please mail completed application, application fee, and a picture of your child to:
Baby Saints at St. Paul’s Episcopal School, 6249 Canal Blvd., New Orleans, LA 70124
www.stpauls-lakeview.org, (504) 488-1319
rev. 12/2014