PreK_3yr_only At this time, we are accepting 3yr. old half-day registration. All other classes are full. Please call (513) 587-3978 to place your child on the waitlist. Registration Fee: $75.00/family *Please Note: Filling out this form alone does not register your child, the school must receive payment, birth certificate, immunizations/medical forms before your child will be considered fully registered/re-registered. ▪ Preschool child must be independent in bathroom abilities ▪ We offer before school care beginning at 7:15 AM ▪ Questions, call Stephanie in the Preschool Office 513-587-3978Please enable JavaScript in your browser to complete this form. - Step 1 of 7Student InformationI am Enrolling *---choose one---a new studenta current student for next yearStudent Name *FirstLastApplying for Entry into Grade *3 year old Class - Half Day***PLEASE NOTE*** 3yr. 1/2 day is the only class open for registration. All other classes are full for the 2024-2025 school year.3 Year Class Half Day Options * First ChoiceSecond ChoiceThird Choice M/W/F (7:45 - 11:00)First ChoiceM/W/F (7:45 - 11:00) First ChoiceSecond ChoiceM/W/F (7:45 - 11:00) Second ChoiceThird ChoiceM/W/F (7:45 - 11:00) Third ChoiceT/TH (7:45 - 11:00)First ChoiceT/TH (7:45 - 11:00) First ChoiceSecond ChoiceT/TH (7:45 - 11:00) Second ChoiceThird ChoiceT/TH (7:45 - 11:00) Third ChoiceM - F (7:45 - 11:00)First ChoiceM - F (7:45 - 11:00) First ChoiceSecond ChoiceM - F (7:45 - 11:00) Second ChoiceThird ChoiceM - F (7:45 - 11:00) Third Choice Please Indicate First, Second & Third ChoiceDate of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender *FemaleMaleSt. Aloysius of Gonzaga is a Catholic school. Faith is integrated into all aspects of the school’s activities. In the Catholic Faith, a person’s sexual identity is rooted in one’s biological identity as male or female. St. Aloysius considers the gender of all students as being consistent with their biological sex, including participation in school athletics and teams, school-sponsored dances, dress and uniform policies, the use of changing facilities, showers, locker rooms, sleeping accommodations on trips, titles, names and pronouns, and school records. By completion of this registration, you understand and agree to this policy. Religion *Non-CatholicCatholicParish *Public School District *Cincinnati Public School DistrictDeer Park Community City School DistrictFinneytown Local School DistrictForest Hills Local School DistrictIndian Hill Exempted Village School DistrictLockland City School DistrictLoveland City School DistrictMadeira City School DistrictMariemont City School DistrictMount Healthy City School DistrictNorth College Hill City School DistrictNorthwest Local School DistrictNorwood City School DistrictOak Hills Local School DistrictPrinceton City School DistrictReading City School DistrictSouthwest Local School DistrictSt. Bernard - Elmwood Place City School DistrictSycamore Community City School District - Sycamore High SchoolThree Rivers Local School DistrictWinton Woods City School District - Winton Woods High SchoolWyoming City School DistrictPublic School Building (Name) *NextAre you transferring from or currently enrolled in another school? *---choose one---NoYesPrevious School AttendedPrevious School Phone Previous School FaxPrevious School Address Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNextFamily InformationStudent Resides With *---choose one---Both ParentsMotherFatherShared Custody (1/2 & 1/2)Legal GuardianPrimary Guardian Name *FirstLastPrimary Guardian Relationship *---choose one---MotherFatherGrandparentLegal GuardianPrimary Phone *Primary Email *Primary Mailing Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePrimary Occupation & Place of Employment *Primary Work PhoneSecondary Guardian Name FirstLastSecondary Guardian RelationshipChoose OneMotherFatherLegal GuardianSecondary Phone Secondary Email Secondary AddressChoose OneSame as PrimaryAdd Secondary AddressSecondary AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSecondary Occupation & Place of Employment Secondary Work Phone NextRelease/Emergency ContactsEmergency Contact #1 *FirstLastPhone *Email *Relation to Student *Step ParentGrandparentAuntUncleCousinSiblingFamily FriendEmergency Contact #2 *FirstLastPhone *Email *Relation to Student *Step ParentGrandparentAuntUncleCousinSiblingFamily FriendMedical ProvidersPhysician Name *Physician Phone *Dentist Name *Dentist Phone *Insurance ProviderPolicy #NextDemographics Hispanic? *---choose one---yesnoEthnicity *American Indian / Native AlaskanAsianBlack or African AmericanHispanic or LatinoMulti RacialNative Hawiian / Pacific IslanderWhitePrimary Language *Choose OneEnglishSpanish AfrikaansAlbanianArabicBasqueBelarusanBengaliBhojpuriBislamaBosnianBrahuiBulgarianBurmeseCantoneseCatalanCebuanoChechenCherokeeCroatianCzechDakotaDanishDariDholuoDutchEstonianFinnishFrenchGeorgianGermanGreekHaitianCreoleHawaiianHebrewHiligaynonHindiHungarianIcelandicIndonesianInuit/InupiaqIrish GaelicItalianJapaneseKazakhKoreanLatvianLingalaLithuanianMacedonianMandarinMongolianNahuatlNavajoNepaliNorwegianOjibwaOriyaOromoPashtoPersianPolishPortuguesePunjabiQuechuaRomaniRomanianRussianRwandaSamoanSanskritSerbianShonaSindhiSinhalaSlovakSloveneSomaliSwahiliSwedishTachelhitTagalogTajikiTamilTatarTeluguThaiTibeticTurkishUkrainianUrduUyghurUzbekVietnameseWarlpiriWelshWolofXhosaYakutYiddishYorubaYucatecZapotecZuluSecondary Language Choose OneEnglishSpanish AfrikaansAlbanianArabicBasqueBelarusanBengaliBhojpuriBislamaBosnianBrahuiBulgarianBurmeseCantoneseCatalanCebuanoChechenCherokeeCroatianCzechDakotaDanishDariDholuoDutchEstonianFinnishFrenchGeorgianGermanGreekHaitianCreoleHawaiianHebrewHiligaynonHindiHungarianIcelandicIndonesianInuit/InupiaqIrish GaelicItalianJapaneseKazakhKoreanLatvianLingalaLithuanianMacedonianMandarinMongolianNahuatlNavajoNepaliNorwegianOjibwaOriyaOromoPashtoPersianPolishPortuguesePunjabiQuechuaRomaniRomanianRussianRwandaSamoanSanskritSerbianShonaSindhiSinhalaSlovakSloveneSomaliSwahiliSwedishTachelhitTagalogTajikiTamilTatarTeluguThaiTibeticTurkishUkrainianUrduUyghurUzbekVietnameseWarlpiriWelshWolofXhosaYakutYiddishYorubaYucatecZapotecZuluNextAcademicsHas the student had any of the following academic testing/evaluations?ADD/ADHDGifted/TalentedMathMultifactoredPsychologicalReadingSpeech/languageUpload Evaluation DocumentationHas the student *had/has ISP/IEPBeen RetainedPrescribed MedicationNone of the aboveIf you chose one or more options, please specify the area/give more detail belowI Plan to Enroll my Child in St. Aloysius Kindergarten Program after completing Preschool *---Choose One---YesNoNextRegistration FeeRegistration is $75.00 per family. Please contact goettke_s@saintals.org for payment options. Submit
