Enrollment Application

Application must be submitted by March 3rd 2024 to be part of the 2024-2025 Lottery process, anything received after will automatically go onto our waiting list. ***Only one application per child.*** If you have not received confirmation that your application was received within three business days following submission, please reach out via email enrollment@pacspaterson.org.

Student First Name

Student Last Name

Date of Birth

YYYY

Gender

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Current Grade

Name of Last School

Grade Applying to

Must be 5 years old by October 31, 2024

Siblings Enrolled in PACS

Name(s) of currently enrolled sibling(s), if Applicable

First Name

Last Name

Grade

Siblings Enrolled in PACS

Name(s) of currently enrolled sibling(s), if Applicable

First Name

Last Name

Grade

Primary Parent/ Guardian First Name

Primary Parent/ Guardian Last Name

Primary Contact Number

(###)

###

####

Primary Contact Email

Relationship to Student

Secondary Parent/ Guardian First Name

Secondary Parent/ Guardian Last Name

Secondary Contact Number

(###)

###

####

Secondary Contact Email

Relationship to Student

Are you applying for more than one student?

If yes and you are applying for more than one student list names below:

First Name

Last Name

Grade

Name

First Name

Last Name

Grade

Thank you for applying to Philip’s Academy! Please ensure that all the information provided is accurate and complete. A separate application is required for EACH CHILD you wish to enroll. Incomplete applications will not be accepted. If your child is offered a space for the upcoming school year, additional information and documents will be required to complete the enrollment process. If any of the information provided changes after submitting this form, please send current information to enrollment@pacspaterson.org to update your student’s record.