Resurrection Catholic School

Montgomery, Alabama

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Online Enrollment Application

- This form is not accepting responses at this time.
  
  Thank you for your enrollment application!
  
  Fees
  New Student Application: $50/family
  Registration: $150/family
  PTO: $75/family
  Accelerated Reading/Math Fee: $125/student
  Developmental: $100/family
  Technology: $300/student
  Book fees may vary. Book fee rental may be accessed.
  
  Final acceptance will be based on the following:
  Completion of a placement test
  A review of the student's academic records, standardized test scores, and conduct grades
  The completion of a parent and student interview
  
  Enrollment for Academic Year
  
  Application Date REQUIRED Please fill out this field. Please enter a date.
  
  Approved Date REQUIRED Please fill out this field. Please enter a date.
  
  Returning RCS REQUIRED Yes No Please fill out this field.
  
  New Student REQUIRED Yes No Please fill out this field.
  
  If new student, last school attended: Please enter valid data.
  
  Family Information
  
  Parents/Guardians Please fill out this field.
  
  Parent/Guardian 1
  
  Relationship to Child REQUIRED Please fill out this field. Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address (if different from student) Please enter valid data.
  
  Street Address Line 2 Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Home Phone Number Maximum 20 characters Please enter a phone number.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Driver's License Number/State Please enter valid data.
  
  Employer's Name Please enter valid data.
  
  Job Title Please enter valid data.
  
  Employer's Street Address REQUIRED Please fill out this field. 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.
  
  Work Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Work Email REQUIRED Please fill out this field. Please enter an email address.
  
  Church Affiliation Please enter valid data.
  
  Emergency Contact? Yes No
  
  Allowed to pick up child? REQUIRED Yes No Please fill out this field.
  
  Alumnus of Resurrection Catholic School? REQUIRED Yes No Please fill out this field.
  
  Year of 8th Grade Graduation REQUIRED Please fill out this field. Please enter valid data.
  
  Parent/Guardian 2
  
  Relationship to Child REQUIRED Please fill out this field. Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address (if different from student) Please enter valid data.
  
  Street Address Line 2 Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Home Phone Number Maximum 20 characters Please enter a phone number.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Driver's License Number/State Please enter valid data.
  
  Employer's Name Please enter valid data.
  
  Job Title Please enter valid data.
  
  Employer's Street Address REQUIRED Please fill out this field. 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.
  
  Work Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Work Email REQUIRED Please fill out this field. Please enter an email address.
  
  Church Affiliation Please enter valid data.
  
  Emergency Contact? Yes No
  
  Allowed to pick up child? REQUIRED Yes No Please fill out this field.
  
  Alumnus of Resurrection Catholic School? REQUIRED Yes No Please fill out this field.
  
  Year of 8th Grade Graduation REQUIRED Please fill out this field. Please enter valid data.
  
  Children to Enroll Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Name Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Female Male Please fill out this field.
  
  Race
  
  Last four digits of SSN Please enter valid data.
  
  Church Affiliation REQUIRED Please fill out this field. Please enter valid data.
  
  Has the child repeated a grade? Yes No
  
  Grade repeated, if applicable Please enter valid data.
  
  Email Address Please enter an email address.
  
  List any medication(s):
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address Line 2 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.
  
  Home Phone Number Maximum 20 characters Please enter a phone number.
  
  Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Name Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Female Male Please fill out this field.
  
  Race
  
  Last four digits of SSN Please enter valid data.
  
  Church Affiliation REQUIRED Please fill out this field. Please enter valid data.
  
  Has the child repeated a grade? Yes No
  
  Grade repeated, if applicable Please enter valid data.
  
  Email Address Please enter an email address.
  
  List any medication(s):
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address Line 2 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.
  
  Home Phone Number Maximum 20 characters Please enter a phone number.
  
  Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Name Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Female Male Please fill out this field.
  
  Race
  
  Last four digits of SSN Please enter valid data.
  
  Church Affiliation REQUIRED Please fill out this field. Please enter valid data.
  
  Has the child repeated a grade? Yes No
  
  Grade repeated, if applicable Please enter valid data.
  
  Email Address Please enter an email address.
  
  List any medication(s):
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address Line 2 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.
  
  Home Phone Number Maximum 20 characters Please enter a phone number.
  
  Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Name Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Female Male Please fill out this field.
  
  Race
  
  Last four digits of SSN Please enter valid data.
  
  Church Affiliation REQUIRED Please fill out this field. Please enter valid data.
  
  Has the child repeated a grade? Yes No
  
  Grade repeated, if applicable Please enter valid data.
  
  Email Address Please enter an email address.
  
  List any medication(s):
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address Line 2 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.
  
  Home Phone Number Maximum 20 characters Please enter a phone number.
  
  Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Name Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Female Male Please fill out this field.
  
  Race
  
  Last four digits of SSN Please enter valid data.
  
  Church Affiliation REQUIRED Please fill out this field. Please enter valid data.
  
  Has the child repeated a grade? Yes No
  
  Grade repeated, if applicable Please enter valid data.
  
  Email Address Please enter an email address.
  
  List any medication(s):
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address Line 2 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.
  
  Home Phone Number Maximum 20 characters Please enter a phone number.
  
  Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Preferred Name Please enter valid data.
  
  Grade REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Female Male Please fill out this field.
  
  Race
  
  Last four digits of SSN Please enter valid data.
  
  Church Affiliation REQUIRED Please fill out this field. Please enter valid data.
  
  Has the child repeated a grade? Yes No
  
  Grade repeated, if applicable Please enter valid data.
  
  Email Address Please enter an email address.
  
  List any medication(s):
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address Line 2 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.
  
  Home Phone Number Maximum 20 characters Please enter a phone number.
  
  Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  Submit
  
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Online Enrollment Application

Family Information