Maria Regina Application Form
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Student Name *
Student will enter grade: *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Street Address *
City *
State *
Zip *
Last school attended ( optional)
How did you hear about us? *
Parent/Guardian #1 Name *
Phone number *
Email *
Parent/Guardian #2 Name
Phone number
Email
Child lives with *
Why are you interested in joining the Maria Regina School community? *
What do you hope your child will achieve at Maria Regina School? *
Please tell us about your child's interest? *
Is there anything else you would like to add that will help us evaluate your child's application?
Submit
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This form was created inside of Maria Regina Elementary School.