Holy Childhood School

First Name*

Last Name*

Street Address*

City*

State*

Zip Code*

Phone Number*

Email Address*

NAME OF CHILD/CHILDREN

1. Name

Current School

Year of School Looking to Enter
---Pre-KKindergarten12345678

2. Name

Current School

Year of School Looking to Enter
---Pre-KKindergarten12345678

3. Name

Current School

Year of School Looking to Enter
---Pre-KKindergarten12345678

Relationship to Perspective Student(s)
---FatherMotherAuntUncleGrandparentGuardianOther

How did you hear of Holy Childhood?
---Current Student/FamilyChurch BulletinVisit/Call from School RepresentativeWebsiteAlumniFlyerMailingRadioOther

If newspaper, which one?

Who referred you? Who has spoken to you about our school? Do you know anyone who attends? If so, please share this information with us so that we can properly thank them.

What are you most interested in knowing about our school?
---AcademicsTransportationDisciplineReligious EducationFinancial AssistanceStandardized TestingFacilitiesExtra Curricular ActivitiesOther

Other:

Would you like to schedule a school visit?
---YesNo

Would you like to attend an Open House?
---YesNo

Would you like to talk to the principal?
---YesNo

What is the best day/time to reach you?

Questions or comments that you have at this time:

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