2025-2026 NEW STUDENT Online Registration Form

Student First Name REQUIRED Please fill out this field. Please enter valid data.

Student Last Name REQUIRED Please fill out this field. Please enter valid data.

I plan to attend Beckman Catholic in the 2025-2026 school year. REQUIRED Yes No I am undecided and need more information. Please contact me. Please fill out this field.

Student Date of Birth REQUIRED Please fill out this field. Please enter a date.

Grade in 2025-2026 REQUIRED Please fill out this field.

Mother First Name REQUIRED Please fill out this field. Please enter valid data.

Mother Last Name REQUIRED Please fill out this field. Please enter valid data.

Father First Name REQUIRED Please fill out this field. Please enter valid data.

Father Last Name REQUIRED Please fill out this field. Please enter valid data.

Contact Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Parent Email REQUIRED Please fill out this field. Please enter an email address.

Parent Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Student's Current School REQUIRED Please fill out this field. Please enter valid data.

Resident Public School District REQUIRED Please fill out this field. Please enter valid data.

Will the student be in band? REQUIRED Yes No Please fill out this field.

Will the student be in chorus? REQUIRED Yes No Please fill out this field.

Will the student be in FFA? REQUIRED Yes No Please fill out this field.

Are you Catholic? REQUIRED Yes No Please fill out this field.

What church do you belong to? (N/A if none) REQUIRED Please fill out this field. Please enter valid data.

All families will be eligible for the ESA in the 2025-26 school year but must apply by the deadline. If you are new to receiving the ESA and/or have questions about the ESA process, please mark YES if you would like to be contacted by a school staff member to help you through the process.

I would like to be contacted for assistance with ESAs. Yes No