Enrollment FormEnrollment Form Enrollment Type Are you enrolling a new student or re-enrolling a current student? Enrolling a new student Re-enrolling a current student Family Information Last Name * Father's Name * Mother's Name * Primary Email Address * Primary Phone Number * Primary Address * Primary Address Primary Address Primary Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Father's Information Phone Number * Email Address * Please double-check the email address to ensure it is entered correctly in order for us to respond to your application request. Mother's Information: Phone Number * Email Address * Please double-check the email address to ensure it is entered correctly in order for us to respond to your application request. PermissionsPermission to Photograph (for school website and promotional materials) * Yes No Parent Statement: Please let us know what continues to interest you about St. Edith Stein School for Girls, additional goals for your daughter's education and why you think SES continues to be a good fit for your daughter. * Student Information: First Name * Middle Name Last Name * Have there been any changes in the past year with your daughter that we need to know about? Ex: health, fitness, family life? * Name of the parent or guardian completing this form: * Name of the parent or guardian completing this form: First First Last Last Signature Clear Enrollment / Re-Enrollment Deposit:Returning families only: Please include a $500 non-refundable deposit in order to reserve a place. This amount will be applied to tuition. You may pay via credit card using this form or mail a check made out to St. Edith Stein School for Girls. Your daughter will be considered enrolled once the deposit has been paid.New families: Once your daughter has been accepted, please complete this form and pay the required non-refundable $500 deposit fee via credit card. This will immediately reserve your child's space with SES. How do you wish to pay? (New families must pay via credit card.) * Credit Card Check Please process the non-refundable $500 enrollment or re-enrollment deposit using the below credit card information. * Yes Credit Card If you are human, leave this field blank. Submit
