Application for Enrollment

Child Info

MaleFemale

Parent/Guardian Info

Secondary Parent/Guardian Info

Additional Info

History

I hereby give permission for

to release all school records, medical and developmental (including test scores) to St. Michael’s School & Nursery for the purpose of admission.

Further, I give permission for you to release all information about the status of my financial account while I was using your services.

School or Childcare Provider

By signing and submitting this form you agree to release all school records, medical, and development (including test scores) to St. Michael's School & Nursery for the purpose of administration