Registration Form

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Thank you for your interesting registering your child(ren) at Sacred Heart Catholic Academy in Cambria Heights! We are happy to welcome you and your children to our school family, and look forward to working together on providing a strong and faith-filled education. Please complete this Registration Form in FULL, so that we may have an accurate and up-to-date record for your child. This is very important, as we continue to rely on virtual communication with parents and students.

Please complete each required field, and any that apply to your child. At this time, we will need each family to complete a separate form for each child. Where required but not applicable, please fill in “N/A” or an appropriate response. For example, for Occupation, if Self-Employed, Stay-At-Home Mom, Retired, etc., please fill in with the appropriate text and type “N/A” for Employer.

To read more about our Mission and our school, please visit our About page.

Mother's or Guardian 1 Name(required)

Father's or Guardian 2 Name(required)

Mother's or Guardian 1 Email(required)

Father's or Guardian 2 Email(required)

Mother's or Guardian 1 Occupation(required)

Father's or Guardian 2 Occupation(required)

Mother's or Guardian 1 Employer(required)

Father's or Guardian 2 Employer(required)

Home Phone Number(required)

Cell Phone Number(required)

Work Phone Number(required)

Person Responsible for Student's Tuition(required)

Home Phone Number(required)

Cell Phone Number(required)

Home Address(required)

City, State(required)

Zip Code(required)

Student FULL Name(required)

Gender(required)

Student Date of Birth(required)

Student Social Security #(required)

Grade Student is Registering For: (required)

Student is currently in: (required)

Number of Children in the Home:(required)

Is this student the Oldest Child?(required)

Siblings Names and Grade Levels(required)

Primary Language Spoken at Home:(required)

If Other, which language:

Does the student have an Individualized Education Plan (IEP) on file?(required)

Was the child baptized in the Catholic Faith?(required)

Date of Baptism:

Was the child baptized in the another Faith?

Which Faith?

Church of Worship:(required)

What was the date of this student's first polio vaccination?(required)

Emergency Contact Person 1:(required)

Emergency Contact Person 2:(required)

Relationship to Student:(required)

Emergency Contact Home Phone Number:(required)

Emergency Contact Cell Phone Number:(required)

Emergency Contact Work Phone Number:(required)

Emergency Contact Occupation:(required)

Emergency Contact Employer:(required)

Additional Information:

As parent(s)/guardians, of the above student, we are knowingly and willingly enrolling our child/children in Sacred Heart Catholic Academy. We are aware that the registration fee is non-refundable. Most importantly, we are also aware that as a Catholic School, Religion, in prayer and works, is an integral component of the daily educational program here. As such, we have chosen Sacred Heart, in part, due to the value based program of study administered here. We, therefore, pledge to respect and uphold the religious and academic program promulgated and taught here at school in all aspects of the child/children’s learning experiences and assigned schoolwork – class work, homework, projects, and tests as well as all other related activities. We will cooperate fully in our child/children’s growth and development, physically, mentally, and spiritually. We sign this inscription form as a testament to our sincerity in this matter.

By completing and submitting this registration form, you agree to the above testament.