Apply to St. Clare

By means of this application, the Administration of St. Clare of Assisi Catholic School welcomes your interest. Prior to the scheduling of an interview, we would appreciate the following information via online or by fax/email of the PDF form of this application:

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*If applying from out of city or state, please list current address and phone number.

Today's Date REQUIRED Please fill out this field. Please enter a date.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

Gender REQUIRED Male Female Please fill out this field.

Home Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Home Phone Number Please enter a phone number.

Cell Phone Number Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Parent/Legal Guardians Please enter valid data.

Please check which apply Mother Father Legal Guardian

Work Phone Number (Mother) Please enter a phone number.

Work Phone Number (Father) Please enter a phone number.

Previous School Attended Please enter valid data.

Current Grade Level Please enter valid data.

School Address Please enter valid data.

School Phone Number Please enter a phone number.

Principal Please enter valid data.

Church/Parish in which family is registered Please enter valid data.

Religion of Mother Please enter valid data.

Religion of Father Please enter valid data.

How did you hear about us? Church Bulletin Radio Ad Newspaper Community Newsletter Website Phone Book St. Clare Family Member

Please provide name

if St. Clare Family Member was how you heard about us

Please enter valid data.

Please list any allergies to foods or materials

Enter Allergies or N/A

Describe any tutoring or special help the child is receiving or has received

Enter Description or N/A

Check all areas for tutoring/special help that may apply Reading Math Speech Therapy Occupational Therapy Physical Therapy Vision Therapy Other (please include in description above)

Please list any medications that child takes on a daily basis

Enter Text or N/A

Please enter valid data.

Please list any medications that child takes occasionally

Enter Text or N/A

Please enter valid data.

Number of Children in the Family REQUIRED Please fill out this field.
Child 1
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Grade Please enter valid data.
- School Please enter valid data.
Child 2
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Grade Please enter valid data.
- School Please enter valid data.
Child 3
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Grade Please enter valid data.
- School Please enter valid data.
Child 4
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Grade Please enter valid data.
- School Please enter valid data.
Child 5
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Grade Please enter valid data.
- School Please enter valid data.
Child 6
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Grade Please enter valid data.
- School Please enter valid data.
Child 7
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Grade Please enter valid data.
- School Please enter valid data.
Child 8
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Grade Please enter valid data.
- School Please enter valid data.
Child 9
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Grade Please enter valid data.
- School Please enter valid data.
Child 10
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Grade Please enter valid data.
- School Please enter valid data.
Child 11
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Grade Please enter valid data.
- School Please enter valid data.
Child 12
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Grade Please enter valid data.
- School Please enter valid data.
Child 13
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Grade Please enter valid data.
- School Please enter valid data.
Child 14
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Grade Please enter valid data.
- School Please enter valid data.
Child 15
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Grade Please enter valid data.
- School Please enter valid data.

Please indicate the grade for which you are submitting this application PK3 (Monday-Friday 8AM-3PM) PK4 (Monday-Friday 8AM-3PM) Elementary Grades 1st-5th (Monday-Friday 8AM-3PM) Middle School Grades 6th-8th (Monday-Friday 8AM-3PM)

I am interested in ... Before school care After school care Both, before & after school care

St. Clare Catholic School

Houston, TX

"Love God, Serve God; Everything is in That!"

Apply to St. Clare

St. Clare of Assisi Catholic School Application