Open House Registration Form
Last name of student:
Your answer
First name of student:
Your answer
Gender of student:
Birthdate of student:
MM
/
DD
/
YYYY
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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