St. Mark Application
Complete the information below to submit your information.
Email address *
Student Name *
Your answer
Student Birth Date *
MM
/
DD
/
YYYY
Gender *
Upcoming Grade Level *
Second Student Name
Your answer
Second Student Birth Date
MM
/
DD
/
YYYY
Second Student Gender
Second Student Upcoming Grade Level
Date you would like to start
MM
/
DD
/
YYYY
Please add any relevant comments: ie. days needed for PreK, concerns, etc.
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Parent/Guardian Name 1 *
Your answer
Phone *
Your answer
Alt phone
Your answer
Parent/Guardian Name 2
Your answer
Phone 2
Your answer
Alt Phone 2
Your answer
Religious Denomination
Your answer
Are you Catholic? *
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