Prospective Family Interest Form                            
Welcome and thank you for your interest in St. Francis Xavier Catholic School!  

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PARENT CONTACT INFORMATION:
Parent/Guardian #1  LAST NAME *
Parent/Guardian #1   FIRST NAME *
Parent/Guardian #2   LAST NAME (optional)
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Parent/Guardian #2   FIRST NAME (optional)
EMAIL ADDRESS(es)  to receive information  (up to 2 email addresses may be added) *
PHONE *
HOME ADDRESS (include City & Zip)
HOW MAY WE HELP YOU? *
PROSPECTIVE ENROLLMENT FOR: *
PROSPECTIVE STUDENT INFORMATION:
The State of Illinois has set September 1st as the deadline for reaching the required age in order to be admitted to school. This means a child must be the required age on or before September 1st. St. Francis Xavier School abides by these requirements: PS-3: Three years old; PS-4: Four years old; Kindergarten: Five years old; 1st Grade: Six years old; on or before September 1st.
STUDENT #1  -  NAME *
STUDENT #1   -  GRADE of INTEREST *
Required
STUDENT #2  -  NAME
STUDENT #2 - GRADE of INTEREST
STUDENT #3  -  NAME
STUDENT #3  -  GRADE of INTEREST
ADDITIONAL STUDENTS -  NAME(s) & GRADE(s) of INTEREST
HOW DID YOU HEAR ABOUT OUR SCHOOL?   *
Required
NAME OF REFERRER (if referred)
PLEASE PROVIDE NAME OF STUDENT'S PREVIOUS SCHOOL *
REASON FOR TRANSFER     (please answer if student is transferring from another school)
ARE YOU A CURRENT ST. FRANCIS XAVIER PARISHIONER? *
NAME of PARISH (if registered elsewhere)
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