St Mark's Day School

Application for admission

Admission form

"*" indicates required fields

Step 1 of 4

STUDENT INFORMATION:

Student Name*

First Middle Last

Address*

Street Address City State / Province / Region ZIP / Postal Code

Home Phone*

Cell Phone*

Date of Birth*

Age

Sex

Male

Female

Current School

School Address

School Phone Number

Current Grade

Principal

Entering Grade

FAMILY INFORMATION:

Name(Mother/Guardian)

Relationship to student(Mother/Guardian)

Phone(Mother/Guardian)

Email(Mother/Guardian)

Occupation(Mother/Guardian)*

Employer(Mother/Guardian)

Work Phone(Mother/Guardian)

Mother/Guardian Address(if different than child's)

Street Address City State / Province / Region ZIP / Postal Code Country

Name(Father/Guardian)

Relationship to student(Father/Guardian)

Phone(Father/Guardian)

Email(Father/Guardian)

Occupation(Father/Guardian)*

Employer(Father/Guardian)

Work Phone(Father/Guardian)

Father/Guardian Address(if different than child's)

Street Address City State / Province / Region ZIP / Postal Code Country

Student lives with*

Relationship*

Home Phone*

Alternate Phone

Name of person(s) authorized to sign out student:

1. Full Name

Signature path is left.

2. Full Name

Signature path is left

If parents cannot be reached, person to call to call in case of emergency:

Full Name*

Phone

Relationship

Provide an active email to receive a copy of your application form:

Email*

St. Mark's provides a high-quality educational experience to the students at an affordable cost. In keeping with our mission, no student should be denied a quality education because of financial circumstances. Therefore, you can select payment plans through SMART Tuition for those who may prefer installment payments. Enrolling in our Smart Tuition payment plan allows you to select a payment option that best suits your family's financial needs.