Family Registration Form - Corpus Christi Catholic School

Registration Year*

Guardian one

Name*

First Middle Last Nickname

Birthdate*

Relation to Child*

Occupation*

Employer

Cell Phone*

Home Phone

Work Phone

Email*

Current Church Affiliation

Catholic
Other

Have you been convicted of a sex crime?

Yes
No

Are you listed on any sex offender registry?

Yes
No

Have you been convicted of a "listed offense" as defined under Michigan law?

Yes
No

Communication

Paper
Email
Messenger

Check which modes of communication guardian would like to have access.

Guardian Two

Name

First Middle Last Nickname

Birthdate

Nickname

Guardian Two Relation to Child

Occupation

Employer

Cell Phone

Home Phone

Work Phone

Email

Current Church Affiliation

Catholic
Other

Have you been convicted of a sex crime?

Yes
No

Are you listed on any sex offender registry?

Yes
No

Have you been convicted of a "listed offense" as defined under Michigan law?

Yes
No

Household Information

Family Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Family Email*

Enter Email Confirm Email

Where are you a registered parishioner?*

St. Francis de Sales, Holland, MI
Our Lady of the Lake, Holland, MI

School District*

Primary Language Spoken in Home*

English
Spanish
Vietnamese

Other Languages Spoken in Home

English
Spanish
Vietnamese
Other

Students

Please list the names of students Kindergarten through Eighth Grade who you will be registering to attend Corpus Christi Catholic School.

Child One*

First Middle Last Grade

Child Two

First Middle Last Grade

Child Three

First Middle Last Grade

Child Four

First Middle Last Grade

Child Five

First Middle Last Grade

Custody Arrangement

If custody is shared, please complete a form for each household and describe custody arrangements below. Documentation can be submitted to the school office.

Phone

This field is for validation purposes and should be left unchanged.

LOGIN

CONTACT

Family Registration

Guardian one

Guardian Two

Household Information

Students

Custody Arrangement