2010-2011 HOLY NAME SCHOOL

RE-REGISTRATION FORM

PLEASE LIST THE NAMES OF ALL THE STUDENT’S THAT YOU ARE RE-REGISTERING FOR NEXT YEAR.

FIRST CHILD’S NAME: __________________________________________

CURRENT CLASS: _______

SECOND CHILD’S NAME: _______________________________________

CURRENT CLASS: _______

THIRD CHILD’S NAME: _________________________________________

CURRENT CLASS: _______

_______YES, I WISH TO RE-REGISTER MY CHILD (CHILDREN) IN HOLY NAME SCHOOL FOR THE 2010-2011 SCHOOL YEAR. ENCLOSED IS MY NON-REFUNDABLE $100 FEE FOR EACH STUDENT LISTED ABOVE.

________NO, I DO NOT WISH TO RE-REGISTER MY CHILD.

PARENT’S SIGNATURE: ___________________________________