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ST.MICHAEL'S CHURCH

School Attending *

Enrolling Student's Last Name *

Student Phone

Does this child have any special needs, disabilities or health issues? Does S/He have an "IEP" or attend any special classes/programs?

Emergency Contact (not a parent) *

Grade *

Sacraments Received *

Baptism

Reconciliation

First Communion

Confirmation

Primary Family Email *

City *

Occupation

Zip Code *

Work schedule(days $ times)

Middle Name

Occupation

If student previously attended religion classes: where? how long?

Languages *

Address *

First Name *

Name of the Church and Location *

With whom does this student live(if different from above)

1st Parish founded in Queens - 1833

Date of Birth *

Emergency during class time (cannot be parent phone#) *

New student registration form

Thank you for contacting us! If needed, you will hear back within 48-72 hours.

Gender *

Male

Female

Legal Custody of this student *

Father and Mother

Father only

Mother only

Other

Mother's Work Phone# *

Mother's Cell Phone# *

Primary Family Phone Number *

Father's Work Phone# *

Work schedule(days $ times)

Student Email

Father's Cell Phone# *

stmichael1833@aol.com

(718) 961-0295 / (718) 961-0182

136-76 41st Avenue Flushing, NY 11355

Home
Info
Sacraments
Ministry
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News/Announcements
- Events Calendar
- Generations of Faith Campaign
Contact Us

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