Complete one form per child. If you have any questions, please call the school office at 309-274-2994. Thank you.
Please Note: Children entering our Kindergarten must be five years old on or before September 1st to coincide with State of Illinois regulations.
Baptismal Certificate required if Baptism was not at St. Edward Church. The certificate will be returned to you.
Will SendWe are Attaching
Birth Certificate required and will be returned to you.
Number of Older Children in Family:
Number of Younger Children in Family:
Number of years your family has been registered in St. Edward Parish
This Information Is Part Of Your Child’s Permanent Record. Please Be Sure The Information Is Accurate. Use Legal Names Of Child And Parents.
(Certified Copy Of Birth Certificate Required For Verification)
Student Lives With:
Deceased: Mother DeceasedFather Deceased
Brothers And Sisters: (Names And Birthdates)
The Following Emergency Information Is Necessary In Case Your Child Becomes Ill Or Is Injured At School. If The Parents/Guardian Cannot Be Reached At Home Or Work, Notify: