Enrollment Form Enrollment Information Student InformationStudent Name* First Last Entering Grade*7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeStudent Type*Boarding - U.S. DomesticBoarding - InternationalDay StudentParent / Guardian InformationParent / Guardian Name* First Last Marital Status*SingleMarriedWidowedDivorcedSeparatedSchool Mailings Sent To:*Primary Resident Address OnlyPrimary & Secondary AddressPrimary Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Address Saint Stanislaus will use for parent mailings, report cards, registration and school information. Parent / Guardian #2 Name First Last Secondary Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Complete only if you wish Saint Stanislaus to send school mailings to a second address.Emergency ContactIn case parents or guardians cannot be reached. Contact #1* First Last Relationship #1*AuntBrotherCousinFatherFriendGrandfatherGrandmotherGuardianMotherSisterStepfatherStepmotherUncleOtherCell Phone #1*Contact #2* First Last Relationship #2*AuntBrotherCousinFatherFriendGrandfatherGrandmotherGuardianMotherSisterStepfatherStepmotherUncleOtherCell Phone #2*Contact #3* First Last Relationship #3*AuntBrotherCousinFatherFriendGrandfatherGrandmotherGuardianMotherSisterStepfatherStepmotherUncleOtherCell Phone #3*Student Health InformationFood Allergies*Yes, my son has a food allergyNo, my son does not have a food allergyFood Allergy InformationPlease list any foods to which your child is allergic or severely allergic, as well as how your child reacts when exposed to the food that is listed. Student's Primary Physician* First Last Student's Primary Physician Phone Number*Copy of Health Insurance CardPlease upload a copy of the front and back of the student's health insurance card.SiblingsHow many siblings does the student have?*0OneTwoThreeFourFiveSixSibling #1 First Last Brother / SisterBrotherSisterAgeSibling #2 First Last Brother / SisterBrotherSisterAgeSibling #3 First Last Brother / SisterBrotherSisterAgeSibling #4 First Last Brother / SisterBrotherSisterAgeSibling #5 First Last Brother / SisterBrotherSisterAgeSibling #6 First Last Brother / SisterBrotherSisterAgeBrothers of the Sacred Heart ConnectionsHave any relatives attended Saint Stanislaus or a Brothers of the Sacred Heart School?*NoYes - 1 relativeYes - 2 relativesYes - 3 relativesPlease list any relative who is presently attending or who has graduated from Saint Stanislaus or a Brothers of the Sacred Heart School.Name - Relative #1 First Last Relationship to StudentBrotherCousinFatherGrandfatherUncleHe is my ...School AttendedBishop Guertin High School, Nashua, NHBrother Martin High School, New Orleans, LACatholic High School, Baton Rouge, LACor Jseu College, Digos City, PHE.D. White High School, Thibodaux, LAMount St. Charles Academy, Woonsocket, RIMsgr McClancy High School, E Elmhurst, NYSaint Joseph High School, Metuchen, NJSaint Stanislaus High School, Bay St. Louis, MSSt. Columbia's College, Saint Albans, UKVandebilt Catholic High School, Houma, LAClass OfName- Relative #2 First Last Relationship to StudentBrotherCousinFatherGrandfatherUncleHe is my ...School AttendedBishop Guertin High School, Nashua, NHBrother Martin High School, New Orleans, LACatholic High School, Baton Rouge, LACor Jseu College, Digos City, PHE.D. White High School, Thibodaux, LAMount St. Charles Academy, Woonsocket, RIMsgr McClancy High School, E Elmhurst, NYSaint Joseph High School, Metuchen, NJSaint Stanislaus High School, Bay St. Louis, MSSt. Columbia's College, Saint Albans, UKVandebilt Catholic High School, Houma, LAClass OfName - Relative #3 First Last Relationship to StudentBrotherCousinFatherGrandfatherUncleHe is my ...School AttendedBishop Guertin High School, Nashua, NHBrother Martin High School, New Orleans, LACatholic High School, Baton Rouge, LACor Jseu College, Digos City, PHE.D. White High School, Thibodaux, LAMount St. Charles Academy, Woonsocket, RIMsgr McClancy High School, E Elmhurst, NYSaint Joseph High School, Metuchen, NJSaint Stanislaus High School, Bay St. Louis, MSSt. Columbia's College, Saint Albans, UKVandebilt Catholic High School, Houma, LAClass Of