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