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Application for Admission

Father's Information

Mother's Information

Father's Information

Mother's Information

Emergency Contact 1

(Other than Parents)

Emergency Contact 2

(Other than Parents)

Emergency Contact 3

(Other than Parents)

Authorized Pickup Contact 1

(Other then Parents)

Authorized Pickup Contact 2

(Other then Parents)

Authorized Pickup Contact 3

(Other then Parents)

Student Record

This is for students who have a previous IEP or 504 Plan
Only if selected above.

Student's Sacramental Record

Father's Record

Only for Military

Mother's Record

Only for Military

Parental Information