Letter of Intent

2008/ 2009

Please accept this Letter of Intent as our expression of interest in enrolling our child(ren) at Palmer Catholic Academy for the 2008 /2009 school year. We understand that this serves as “pre-registration” and that any Letter of Intent received at Palmer Catholic Academy by January 21, 2008, will be given priority and notification of admission status will begin after January 31, 2008.

Child’s Proper Name Nickname Date of Birth Age (by 9/1/08) Grade Entering

(in Fall of 2008)

_______________________________________ ________________ _________________ ____________________ __________________

__________________________ ___________ ____________ _____________ ____________

Parents Full Names: (Mr. /Mrs. /Ms. /Dr.) _________________________________________________________

Address: ____________________________________________________________________________________

City, State, Zip: ______________________________________________________________________________

Home #: ______________________ Work #: _______________________ Cell #: _____________________

Is Father baptized Catholic?____ If not, what denomination? ________Church attending:________

Is Mother baptized Catholic?___ If not, what denomination? ________Church attending:________

Are you registered parishioners of Our Lady Star of the Sea? _____ Date of registration at OLSS: ____

How often do you attend Catholic Mass? Weekly_____, Biweekly_____, Monthly____, Yearly____.

Are student(s) baptized Catholics?___ Church baptized: __________________ Date: _________

If Catholic, church where Reconciliation received: ______________________ Date: _________

If Catholic, church Holy Communion received: ________________________ Date: _________

Have your children previously attended Catholic school? ___ Transferring from catholic school? _____

What schools are your children currently attending? ___________________________________

Address of current school(s): ___________________________________________________

Please specify schools and grades attended: _________________________________________

Does your child have any medical conditions? If so, describe:______________________________

Does your child have an IEP? (Individual Education Plan)? (One must be checked):____Yes ____No

Please briefly explain your interest in Palmer Catholic Academy for your children? ___________________

_______________________________________________________________________________

Signature: _____________________________________________Date: ___________

Letters of Intent can be brought or mailed to Palmer Catholic Academy, 4889 Palm Valley Road, Ponte Vedra Beach, FL 32082 or faxed to (904) 543-8750.

Letters of Intent received by December 19, 2007 will be given priority