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St. Mary Referral Information Sheet
Below please provide the name and contact information for the parents/guardians of the prospective student(s).
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* Indicates required question
Referred Family Name
*
Your answer
Address
*
Your answer
Phone Number:
*
Your answer
1. Prospective Student
Please provide information on the prospective student that you are referring.
Student Name
*
Your answer
Grade
*
Your answer
School currently attending
*
Your answer
Interests/Sports
Your answer
2. Prospective Student
Please provide information on the the prospective student you are referring.
Student Name
Your answer
Grade
Your answer
School currently attending
Your answer
Interests/Sports
Your answer
3. Prospective Student
Student Name
Your answer
Grade
Your answer
School currently attending
Your answer
Interests/Sports
Your answer
Referring Family
Name
Your answer
Date
Your answer
Referring Family Phone Number
Your answer
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