New Student Application 2017-2018

The following papers must accompany your application:

1. Child's Birth Certificate

2. Child's Baptismal Certificate

3. Medical and TB Screening forms to be completed and signed by a Physician

4. A non-refundable $40.00 Application Fee

PLEASE NOTE: All documents must be the original. (Copies will be made and the originals will be returned to you.)

New Student Application Academic Year 2017 - 2018


STUDENT INFORMATION

[City, State, Zip, Country​]​
Please include area code​​​​​​
[Number, Street, City, State, Zip]​​

SACRAMENT INFORMATION

FAMILY INFORMATION

Father:

[Number, Street, City, State, Zip]​​​​
Include Area Code​​​​​
Include Area Code​​​​​
Include Area Code​​​

Mother:

[Number, Street, City, State, Zip]​​​​
Include Area Code​​​​
Include Area Code​​​
Include Area Code​​​​

*Definition Of Parishioner - A Parishioner is an individual or a family who is registered at Resurrection Church, regularly attends services at Resurrection Church and has been using the envelope system on a continuing basis. To be eligible for the In-Parish rate, families must contribute a minimum of $850.00 a year per family or a minimum of $17.00 a week. Families who do not contribute the minimum annual amount will be considered Out-of-Parish and pay the Non-Parishioner rate.

Student's Siblings:

*Optional Information (used for notification of school events, etc.)

Please Print ​​

EMERGENCY INFORMATION

Please list any condition that should be considered in planning your child's school day:

Include Area Code​​​​
Include Area Code​​​​​
Include Area Code​​​​

Emergency Contacts:In the event Resurrection School is unable to contact me, I hereby authorize the following persons to take responsibility of my child:

Include Area Code​​​​​​
Include Area Code?​​​​​​
Include Area Code​​​​​​
Include Area Code​​​​​​
Include Area Code​​​
Include Area Code​​
Include Area Code​​​​
Include Area Code​​​​
Include Area Code​​​​
Include Area Code​​​
Include Area Code​​
Include Area Code​​

To the best of my knowledge the above information is complete and accurate.  I acknowledge that I have a continuing obligation to inform the school of any changes in my child's health status that are relevant to the information requested by this form.

Please Print ​

Request for Information Release for Records

Name of Current School​​
Student's Name​​​

The above named student has enrolled in the Resurrection Grammar School.  Please forward the following records at your earliest convenience to the address above, Attn: Admissions.

- Transcript

- Current Report Card

- Health Records

- Standardized Tests

- State Test Scores

- Any other information that would assist us in the placement of this student.

Please Print ​

Please provide an email address where we can send a link to your current form.

Email Address :

Resurrection Grammar School

GRAMMAR SCHOOL - 116 Milton Road, Rye, NY (914) 967-1218

MIDDLE SCHOOL - 946 Boston Post Road, Rye, NY 10580 (914) 925-3500

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