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About the Parents & Guardians:

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Street 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.
Email REQUIRED Please fill out this field. Please enter an email address.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.

Are you a registered member of any of the following parishes? REQUIRED St. Ann St. Basil the Great St. Joseph St. Mary of the Assumption Other None Please fill out this field.

About the Student:

Are there any special accommodations your child may need?

Special Acomodations Please enter valid data.

The information on this form will help our Admissions Office begin a conversation with you. Your information will only be used for Admissions purposes and will not be shared with any other organization. Upon submission, a member of our Admissions staff will contact you to follow up on your request and answer any questions you may have.

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