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Student Bio
First Name:
Last Name:
Birthdate:
Gender:
(please select)
F
M
Student School Info
Current School:
Current Grade:
(not in school)
Preschool
Pre-Kindergarten
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
Grade Inquiring For:
(select one)
Preschool
Pre-Kindergarten
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
School Year Inquiring For:
2015-2016
2016-2017
How did you hear about Sacred Heart Schools ?:
(please select)
Friend
Family
Web Search
Magazine
Radio
School Counselor
Teacher
Other
If 'other', please explain:
Primary Contact Info
Email Address:
Phone:
Parent 1
Prefix:
First Name:
Last Name:
Suffix:
Relationship to
student
:
(please select)
Mother
Father
Aunt
Uncle
Grandmother
Grandfather
Other
Parent 2
Prefix:
First Name:
Last Name:
Suffix:
Relationship to
student
:
(please select)
Mother
Father
Aunt
Uncle
Grandmother
Grandfather
Other
Mailing Address
Address:
City
/
State
/
Zip:
Country:
Other Comments
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