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  • STUDENT'S INFORMATION________________________
  • First Name REQUIRED Please fill out this field. Please enter valid data.

    Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  • Gender REQUIRED (Select One) Male Female Please fill out this field.
  • STUDENT LIVES WITH REQUIRED BOTH PARENTS FATHER MOTHER OTHER Please fill out this field.
  • Name of Current School REQUIRED Please fill out this field. Please enter valid data.
  • Grade Expecting to Enter REQUIRED Please fill out this field. Please enter valid data.
  • Parish Affiliation REQUIRED Holy Family Church No Parish Affiliation Other Parish (Please provide name below) Please fill out this field.
  • if Other Parish please provide name Please enter valid data.
  • FATHER'S INFORMATION__________________________
  • First Name REQUIRED Please fill out this field. Please enter valid data.

    Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • ADDRESS REQUIRED Please fill out this field. Please enter valid data.
  • City REQUIRED Please fill out this field. Please enter valid data.

    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

    Zip REQUIRED Please fill out this field. Please enter a zip code.
  • RELIGION REQUIRED Please fill out this field. Please enter valid data.
  • PARISH Please enter valid data.
  • PLACE OF WORK REQUIRED Please fill out this field. Please enter valid data.
  • OCCUPATION REQUIRED Please fill out this field. Please enter valid data.
  • MOTHER'S INFORMATION_______________________
  • First Name REQUIRED Please fill out this field. Please enter valid data.

    Last Name REQUIRED Please fill out this field. Please enter valid data.
  • Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • ADDRESS REQUIRED Please fill out this field. Please enter valid data.
  • City REQUIRED Please fill out this field. Please enter valid data.

    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

    Zip REQUIRED Please fill out this field. Please enter a zip code.
  • RELIGION REQUIRED Please fill out this field. Please enter valid data.
  • PARISH Please enter valid data.
  • PLACE OF WORK REQUIRED Please fill out this field. Please enter valid data.
  • OCCUPATION REQUIRED Please fill out this field. Please enter valid data.

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