Statement of Catholic Morality *

Check here to indicate that you have completely read and agree

Culture Statement *

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Name *

First Name

Last Name

Student date of birth *

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DD

YYYY

Grade applying for *

6th Grade

7th Grade

8th Grade

9th Grade

10th Grade

Mother/Guardian's Name *

First Name

Last Name

Father/Guardian's Name *

First Name

Last Name

Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary phone number *

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Secondary phone number (if desired)

(###)

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Date *

MM

DD

YYYY

Date *

MM

DD

YYYY