HOLY FAMILY SCHOOL
1153 E. 9th Street - Erie, PA
16503
Phone # 452-4720
SUMMER SCHOOL
REGISTRATION FORM
PLEASE PRINT
NAME_______________________________________________________
(Last)
(First) (Middle)
Address______________________________________________
Sex __________ (M-or F
Address___________________________________________________
Zip__________
Phone #
_________________________________
Grade your child was in for
the year 2006 – 2007 _____________________
Age of
Child______________________
Please state any medical
problems we should be aware of
***In case of emergency, or some
unforeseen event, who should be contacted to come for your
child? If it should be home as usual, please state that.
Name__________________________________________________
Address
_____________________________________Zip________________
Phone # ______________________
A $25.00 (nonrefundable)
registration fee is due with this form. The fee for the
three weeks of summer school is $90.00, payable on the first
day of summer school.
