St Paul's Lutheran School of Craigs Meadow, Inc.
RR2, Box 2157, East Stroudsburg, PA 18301  570 223-7700
 

2008-2009 School Year Registration Form
The Registration form can be filled in and then printed using your Browsers print button 

Download here in PDF

 Student:   Gender  Male Female       Program   5 Day Program 3 Day Program

Father’s Name:     Work Phone

Mother’s Name: Work Phone:

Child lives with: Both Parents Mother Father Other    Other:

Mailing Address

Home Phone:     Father:     Mother:

Child’s Date of Birth:     Place of Birth:

Age on Dec. 1 Three Four Five      Birth Certificate #:   State of Issue: Pennsylvania New Jersey New York Other

School Previously Attended:   Years attended: One Two Three Four

Church Affiliation:    

Has student been baptized: Yes No      Date/Place of Baptism:

Registration Fee Due: $50 Pre Kindergarten: Paid Check Cash Other

Parent’s Signature  & Date   

The Registration form can be filled in and printed using your Browsers print button 

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