Blessed Sacrament School

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Admissions > Admissions Application

Admission Appplication

Please be reminded, there is no fee to apply.

	Application for admission to grade*

	Applicant's current grade*

	Applicant's full name*

	Nickname (if any):

Sex*

	Male
	Female

	Date of Birth (mm/dd/yyyy)*

Applicant's religion *

	Catholic
	Presbyterian
	Baptist
	Lutheran
	Methodist
	Episcopalian
	Jewish
	Other:

Applicant currently lives with (choose one)*

	Parents
	Mother
	Father
	Other:

Check any that may apply

	Father is deceased
	Mother is deceased
	Parents are separated
	Parents are divorced
	Father has custody
	Mother has custody
	Joint custody

	Applicant's home phone*

	Father's full name *

	Father's address, city, state, zip*

	Father's cell phone number

	Father's email address*

	Father's occupation/title*

	Mother's full name*

	Mother's address, city, state, zip (if different from father's)

	Mother's cell phone

	Mother's email address

	Mother's occupation/title*

	Applicant's current school name*

	Address of current school*

	Phone number of current school

	Current parish name

	Baptism date, church and location

	Holy Eucharist date, church and location

	Penance date, church and location

	Confirmation date, church and location

Student's ethnic origin *

	African American
	American Indian
	Asian
	Hispanic
	White/Caucasian
	Multiracial
	Other:

	If there is anything else you would like us to know, please say so here

Please Note: Questions marked with an asterisk (*) are required.

© 2008 Blessed Sacrament School | 5841 Chevy Chase Parkway, NW | Washington, DC 20015 | (202) 966-6682 | Contact BSS

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