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Dear prospective Family,

The St. Bernard Catholic Elementary School community welcomes you and your family to our Christ-oriented learning environment. We are excited that you are considering becoming a part of our family. In this packet, you will find the following information:

  • Application for Admission
  • 2020-2021 Fee Schedule
  • Registration Financial Obligation
  • Emergency Information
  • Publication/Picture Permission Form
  • Dismissal Form
  • SCH Recurring Payment Authorization Form
To register your child(ren) for next year, you will need to submit the following:
  •  Completed application for admission
  • $555 Enrollment Fee
  • Birth Certificate
  • Baptism Certificate (if applicable)
  • Immunization Record
  • Last report card

Please note that your registration will not be considered complete until all forms and registration fee are turned into the office.

 

Thank you in advance for your cooperation and for considering St. Bernard Catholic school for your child.

 

Sincerely,

Mr. Aaron De Loera

Principal

 
Application for Admission for 2020-2021
Grade Entering *
Student's Name *
First Name * Middle Name Last Name *
Social Security #
- -
XXX XX XXXX
Birth Date *
- -
MM * DD * YYYY *
Birthplace
City State Country
Home Address *
Address1 City State Zip
Home Phone
Does your child have allergies? *
If yes, please explain
Will they need to take medicine at school? If yes, please see office for form.
Does your child wear glasses? *
Including Pre-School, list the school(s) attended, most recent first
School name
Address
School name
Address
Father's Name
First Name Middle Name Last Name
Birthplace
City State Country
Residence Address
Address1 City State Zip
Religion
Occupation
Employer Name
Business Address
Work Phone
Cell Phone
Email Address
Driver's License #
Mother's Name
First Name Middle Name Last Name
Birthplace
City State Country
Residence Address
Address1 City State Zip
Religion
Occupation
Employer Name
Business Address
Work Phone
Cell Phone
Email Address
Driver's License #
Check home conditions *
If student is under care of Guardian, different from Parents, please list info below.
Name
First Name Middle Name Last Name
Relationship to Child
Birthplace
City State Country
Cell Phone
Email Address
If any, list family members currently attending or alumni of St. Bernard School and relation (brother, sister, cousin, etc.)
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9626 Park St, Bellflower, CA 90706
Phone: (562) 867-9410
Fax: (562) 866-2310
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