SS. Peter and Paul School

116 Beecher Avenue

Waterbury, Connecticut  06705

(203) 755-0881

 

Dear Parents,

 

            The Office of Catholic Schools is requiring us to send in a report on the number of U.S. citizens.  Please fill out the form below and return it to school by Sept. 7th

                                                                                                Thank You

 

CHILD’S NAME_____________________________________________   GR______

 

DATE OF BIRTH___________________                  PLACE OF BIRTH_____________________

 

CHILD IS        ______U.S. CITIZEN              ______NON U.S. CITIZEN

                        (PLEASE CHECK ONE OF THE ABOVE)

 

FATHER’S CITIZENSHIP _______________________________(COUNTRY)

 

MOTHER’S CITIZENSHIP _______________________________(COUNTRY)

 

 

 

 

 

 

SS. Peter and Paul School

116 Beecher Avenue

Waterbury, Connecticut  06705

(203) 755-0881

 

Dear Parents,

 

            The Office of Catholic Schools is requiring us to send in a report on the number of U.S. citizens.  Please fill out the form below and return it to school by tomorrow Sept. 7th.

                                                                                                Thank You

 

CHILD’S NAME_____________________________________________   GR______

 

DATE OF BIRTH___________________                  PLACE OF BIRTH_____________________

 

CHILD IS        ______U.S. CITIZEN              ______NON U.S. CITIZEN

                        (PLEASE CHECK ONE OF THE ABOVE)

 

FATHER’S CITIZENSHIP _______________________________(COUNTRY)

 

MOTHER’S CITIZENSHIP __________________________(COUNTRY)