Open House Registration Form
Last name of student: *
Your answer
First name of student: *
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Gender of student: *
Birthdate of student: *
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DD
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Current school:
If current school is not listed above, please indicate school name:
Your answer
Current Grade: *
For what year are you seeking admission to St. Elizabeth High School? *
Street address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip: *
Your answer
Home telephone number: *
Your answer
Parent/Guardian name: *
Your answer
Parent/Guardian cell number: *
Your answer
Parent/Guardian email address: *
Your answer
How did you hear about St. E and our Open House? *
Check all that apply.
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