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Grade School Application
St. Paul Lutheran School
846 North Menard Ave.
Chicago, IL 60651
Phone: 773/378-6644, Fax: 773/378-7442
Date____________________________________
Name of Child_______________________________________________
Address_____________________________________________________
City_______________________________Zip______________________
Phone_____________________________
Date of Birth_______________
Place of Birth ______________________________
Previous school________________________________
current grade ___ever repeated a grade?_______
Father's name______________________________________________
Occupation_________________________________________________
Employer___________________________________________________
Address_____________________________Phone__________________
Mother's name______________________________________________
Occupation_________________________________________________
Employer___________________________________________________
Address_____________________________Phone__________________
Other Children in Family and their Date of Birth
_____________________________________ ___________________
_____________________________________ ___________________
_____________________________________ ___________________
How did you hear about our school? ______________________________________________
Why do you wish to send your child to our school? ______________________________________________
Father's signature_________________________________________
Mother's signature_________________________________________
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