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New Student Online Application - OPEN ENROLLMENT IS NOT CURRENTLY AVAILABLE. Please contact our office.

Please fill out and submit the online form below if you are a NEW student.

Please submit one form per child. After completing this form you will be redirected to the online payment page to submit your non-refundable deposit of $200 per student or $500 per family of three or more before June 5, 2022.

Student information

First Name

Middle Name

Last (Given) Name

Gender

Place of Birth

Date of Birth (MM/DD/YYYY)

Who child lives with

Street (if different from parent)

Street (if different from parent)

Grade as of September

Anticipated School Start Date

Previous School

School District of Current Residence

Religious Affiliation

Ethnic Group (list all that apply: Caucasian, African-American, Hispanic, American Indian/Alaskan Native, Asian/Pacific Islander)

Current Parish

Date, Parish and City of Baptism

Reconciliation Date

Date, Parish, and City of First Communion

Date, Parish, and City of Confirmation

If not US citizen, country of origin

Primary Language at Home

Today’s Date

Media Release

Seton Catholic celebrates your child and their accomplishments. Photos, video, and artwork may be displayed in the school, online, or in print media. Please specify any restrictions:

Student Educational Services

Does your child currently have an Individualized Education Plan (IEP)? Does your child currently have a 504 Plan? Has your child ever repeated a grade in school? If yes, please list grade(s):Check any services below that your child has received in the past school year:

Remedial MathRemedial reading Speech

ESLOccupational therapy Physical therapy

School counseling Counseling from outside agency

Has your child been suspended/ dismissed or received disciplinary action from his/her current/present school?

Please send all documentation to any of the above questions.

Parent Questions

Parent Name(s)Why do you seek an education for your child at Seton Catholic? (TV, Online Ad, Radio Ad, Print Ad, Referral, etc.) How did your family hear about Seton?

Junior/Senior High School Student Applicant Questions (Grades 6 to 12 Only)

Please list your present activities and interests (e.g. sports, art, music, technology). Please list activities you may be interested in pursuing at SC? Building community spirit is one of the most important goals of Seton Catholic. How do you think you can contribute to our school? What personal qualities do you possess that will increase the spirit of our community at SC?

Agreement to Comply with Parent/Student Handbook

View Student HandbookBy checking this box ,I the parent, agree to comply with the student handbook.By checking this box, I the student, agree to comply with the student handbook.

Father / Guardian / Stepfather information

First Name

Middle Name

Last (Given) Name

CustodyIf Foster placement (please provide DSS-2999/3424) Street Address

City

State

Postal Code

Home Phone

Mobile Phone

Work Phone

Home Email

Work Email

Employer

Occupation

Title / Rank

Seton Catholic Graduate?Religion and Parish

Mother / Guardian / Stepmother information

First Name

Middle Name

Last (Given) Name

CustodyIf Foster placement (please provide DSS-2999/3424) Street Address

City

State

Postal Code

Home Phone

Mobile Phone

Work Phone

Home Email

Work Email

Employer

Occupation

Title / Rank

Seton Catholic Graduate?Religion and Parish

Emergency Contact Information

Person(s) other than parents/guardians authorized to pick up student.

Emergency Contact 1

First Name

Middle Name

Last Name

Relationship

Email

Home Phone

Mobile Phone

Work Phone

Emergency Contact 2

First Name

Middle Name

Last Name

Relationship

Email

Home Phone

Mobile Phone

Work Phone

Restrictions of Contact

You may provide additional comments and documentation.

Person Restricted

Expiration Date

Non-custodial parent name

What would you like mailed to the non-custodial parent?

Expiration Date

Non-custodial parent street address

City

State

Zip

Others Living in Household

Person 1

Name

Relationship

Gender

Age

School

Grade

Person 2

Name

Relationship

Gender

Age

School

Grade

Person 3

Name

Relationship

Gender

Age

School

Grade

Person 4

Name

Relationship

Gender

Age

School

Grade

Person 5

Name

Relationship

Gender

Age

School

Grade

Family Members Who Attended Seton catholic

Name

Relationship

Class (appox. OK)

Name

Relationship

Class (appox. OK)

Name

Relationship

Class (appox. OK)

Name

Relationship

Class (appox. OK)

Medical History

Immunization

Please send copies of shot records showing: 3 DPT3, 3 Polio, MMR, Hep B, 2 Varicella. For Pre-K, HIB & PCV.

Has your child been screened for lead poisoning? Please include a copy of the test with an immunization record. Has your child had any of the following? If yes, please describe in space provided.Allergies/Hay Fever Anemia Arthritis Asthma Bee Sting Allergy Bladder/Kidney Injury or Disease Bleeding Tendencies Broken Bones CancerChildhood Diseases Concussion Convulsions/Seizures Diabetes Eyeglasses Fainting Spells Frequent Colds/Sore Throats Gastrointestinal Problems Heart Disease/Problems/Murmur Head/Neck Injury High Blood Pressure Injury to the Spleen Nose Bleeds Orthopedic Problems Pneumonia Rheumatic Fever Tuberculosis Contact OtherHospitalizations/Severe Injuries/Operations:

Medications:

Name of Medicine

Take at Home or School?

Reason Prescribed

Name of Medicine

Take at Home or School?

Reason Prescribed

Name of Medicine

Take at Home or School?

Reason Prescribed

Name of Medicine

Take at Home or School?

Reason Prescribed

Does your child use an inhaler at school? Has your doctor suggested that your child’s activities at school be limited in any way? Has there ever been a sudden death in a family member under the age of 50? If yes, explain: Does your child have any of the following: loss of vision, severe hearing loss, one kidney,etc.? If yes, explain: Any special medical problems or concerns?

Authorization & PAYMENT AGREEMENT

I agree to make tuition payments, or pay in full, for the 2022-2023 school year and agree to abide by this policy in accordance with all school policies regarding tuition. I understand that any delinquent account may be turned over to a collection agency in which case I will be subject to their additional collection fees.

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Go Knights!

We’ve designed an environment to foster the daily development of children from the youth of Pre-K to young adults of High School.

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Plattsburgh, NY 12903 view on the map

Contact Us

Phone: 518-561-4031
Fax: 518-563-1193 sgingrich@setonknights.org

Seton Catholic is a School of the Diocese of Ogdensburg. You can find more on their website at www.rcdony.org

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