North Little Rock Catholic Academy
Online Registration
Date
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Student Name
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Preferred Name
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Permanent Address
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City
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State/ Zip
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Telephone Number
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Date of Birth
MM
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DD
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YYYY
Age
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Current Grade
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Religion
Which Parish/ Church do you attend?
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If Catholic, has applicant received First Communion?
If yes, enter date received
MM
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DD
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Name of Parish 1st Communion Received
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Has applicant been Baptized?
If yes, enter date received
MM
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DD
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YYYY
Name of Parish/ Church Baptism received
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Has applicant ever been enrolled in area Catholic school?
If yes, last year enrolled
MM
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DD
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YYYY
Name of School
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Grade Entering
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Ethnic Background
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