St. Lawrence School
231 Main Street
West Haven, Connecticut 06516
Celebrating 90 Years of Educational Excellence
3 and 4-year-old Application
Children must reach their 3rd or 4th birthday no later than December 31st
_______3 year old _______4 year old
(A $250.00 non-refundable seat deposit is required to hold the students place)
(Check one)
_______M-F 8:00 a.m.-2:15 p.m. ______ M-W-F 8:00 a.m.-2:15 p.m.
______ M-F 8: 00 a.m.- 11: 00 a.m. ______ M-F 11:15 a.m. - 2:15 p.m.
______ M-W-F 8:00 a.m.– 11:00 a.m. ______ M-W-F 11:15 a.m. – 2:15 p.m.
Child's name___________________________________________________ M______F______
(First) (Middle) (Last)
Address____________________________________________________________________________
(Street) (City) (Zip)
Date of Birth_________________
Place of Birth________________________________
(City) (State)
Child lives with: Both parents_____
Mother_____ Father______
Other_____________________
(Relationship)
Present Church Membership_________________________
Language spoken in the home_______________________
MOTHER FATHER
Name_______________________________ Name ___________________________
Address_____________________________ Address ________________________________
Home Phone_________________________ Home Phone____________________________
Place of Work________________________ Place of Work___________________________
Work Phone__________________________ Work Phone_____________________________
Religion______________________________ Religion ________________________________
SL Graduate Yes/Year _______ No_______ SL Graduate Yes/Year _______ No_______
Church of Baptism_______________________
Date, year of Baptism_____________________
City, State______________________________
Child’s Social Security Number _____________________
3 and 4-year-old Application
Registration Form (Page 2)
These questions must be answered carefully and completely.
Failure to do so will result in an incomplete application.
1. Why do you wish your child to attend St. Lawrence School?________________________________
___________________________________________________________________________________
2. Does your child have any physical handicap or problem that might affect his/her schooling? If yes, please
explain. ____________________________________________________________________
3. Has your child received any special educational services? _________If yes, please explain.
___________________________________________________________________________________
4. Is there any additional information that would be helpful to the principal, teachers, school nurse etc. in meeting
the academic, social, emotional or physical needs of your child?_____________________
____________________________________________________________________________________
5. If my child is accepted to St. Lawrence School I agree to abide by the school policies and procedures as outlined
in the Parent-Student Pre-K Handbook, which is updated and distributed annually prior to the opening of school.
____________________________________ _________________
(Parent signature) (Date)
Please attach a $25.00 non-refundable registration fee and a copy of the following documents:
1. Baptismal Certificate………(unless baptized at St. Lawrence)
2. Birth Certificate
__________________________________________________________________________________________
OFFICE USE ONLY
Records: Birth _____ Baptismal_____ Report Card _____ Transcripts ______ Health _____
Interview with principal: _____________ Parish Status: ___________
Application Fee _______________ Check # _____________ Date paid ____________
Tuition deposit ________________ Date due _____________ Date received _________
Tuition Payment Plan Choice: Full ______________ F.A.C.T.S. Application _________
Other __________________________________________________________________