Parent(s) Name(s) *

Student(s) Name(s) *

Grades Interested in for Your Student(s) *

Preschool 3s Half Day Program

Preschool 4/5s Program – Half Day

Preschool 4/5s – Full Day

Kindergarten

First

Second

Third

Fourth

Fifth

Sixth

Seventh

I would like to register for the Kindergarten Explorer Day Program

Yes

No

I would like to be contacted to schedule a school tour

Yes

No

Street Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Specific Questions or Concerns

“How did you hear about St. Sebastian Parish School? Please check all that apply.

Current Parishioner

Parishioner at Another Catholic Church

Family Member

Friend

Website

Social Media

Diocesan Website

Newspaper

Other