C.A.R.E.S Application

- C.A.R.E.S Application
  
  Complete one form per child
  
  Please write child's name below:
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Sex
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Address 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.
  
  Allergies? REQUIRED Yes No Please fill out this field.
  
  If yes, please provide details regarding allergies.
  
  Number of Days Child Will Attend C.A.R.E.S REQUIRED Please fill out this field. Please enter an integer (number).
  
  Days Attending REQUIRED Monday Tuesday Wednesday Thursday Friday Please fill out this field.
  
  Parent or Guardian 1 Name REQUIRED Please fill out this field. Please enter valid data.
  
  Parent or Guardian 1 Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Parent or Guardian 1 Work Phone Number Please enter valid data.
  
  Parent or Guardian 1 Work Address Please enter valid data.
  
  Parent or Guardian 2 Name REQUIRED Please fill out this field. Please enter valid data.
  
  Parent or Guardian 2 Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Parent or Guardian 2 Work Phone Number Please enter valid data.
  
  Parent or Guardian 2 Work Address Please enter valid data.
  
  List individuals authorized to pick up your child (include name, relationship and phone number):
  
  In addition to Parent/Guardian above, list two emergency contacts (include name, relationship and phone number): REQUIRED Please fill out this field.
  
  Please use this section to provide any additional information you'd like known regarding your child:
  
  Submit
  
  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

St. Francis of Assisi School

Where Faith and education merge with excellence

C.A.R.E.S Application

C.A.R.E.S Application

Complete one form per child

Please write child's name below: