Prospective Day School Application – Saint Anne's Day School & Enrichment Programs

Child's Full Name *

Gender *

Child's Preferred Name *

Child's Date of Birth//

Home Phone Number *

Home Address *

Address Line 1

Address Line 2

City

State

Zip Code

Parent 1 *

Work Number *

Cell Number *

Parent 2 *

Work Number *

Cell Number *

Email Address *

School year child is applying for *

Does your child have a sibling(s)? *

Sibling Name

Sibling's Date of Birth//

Sibling 2

Date of Birth//

Sibling 3

Date of Birth//

Sibling(s) currently enrolled at Saint Anne's?

Which program? *

Are you an active pledging member of St. Anne's Episcopal Church? *

Do you have an interest in our full day care for Pre-Kindergarten and Kindergarteners? *

Are you or one of your children a Saint Anne's alum?

If yes, what year did you or your child graduate?