St. Benedict Catholic School Interest Form
Thank you for your interest in our programs and the opportunity to share our mission of Catholic education with you and your family. Our task at St. Benedict Catholic School is to inspire the continuous growth of your child. Please fill out this form so we may better serve your needs.
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Parent Information
Parent Last Name(s):
*
Your answer
Parent First Name(s):
*
Your answer
Current Parish (if applicable):
Your answer
Child Information
Child 1 Name:
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Your answer
Child 1 Date of Birth:
*
Your answer
My child will be entering the following grade:
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Other:
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Child 2 Name:
Your answer
Child 2 Date of Birth:
Your answer
My child will be entering the following grade:
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Other:
Clear selection
Child 3 Name:
Your answer
Child 3 Date of Birth:
Your answer
My child will be entering the following grade:
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Clear selection
Contact Information
Street Address:
*
Your answer
City, State:
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Your answer
Zip:
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Your answer
E-mail address:
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Your answer
Phone Number:
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Questions or concerns:
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