St. Clement Academy of San Francisco  

This enrollment survey shall be answered by the parent/guardian of the learner.

Please read the questions carefully and fill in all applicable spaces and write your answers legibly in CAPITAL letters. For items not applicable, write N/A.

For questions/ clarifications, please contact 085-8395966 or send an email to clemrntenoelivtlc@gmail.com.

I hereby certify that the above information given are true and correct to the best of my knowledge and I allow the Department of Education to use my child’s details to create and/or update his/her learner profile in the Learner Information System. The information herein shall be treated as confidential in compliance with the Data Privacy Act of 2012.