Would you like more information about admissions or our school, in general? If so, then simply fill out the following form and we will contact you with the information requested, or to set up any meetings or visits.

CONTACT INFO:
First Name:
Last Name:
Address:
City:
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Zipcode:
Home Phone:
Cell Phone:
Best Time to Reach Me:
Email Address:
STUDENT(S) INFO:
Your Relationship to Student(s):	FatherMotherUncleAuntGrandparentGuardianOther
Guardian's Name
Mother's Name
Father's Name
1. (Child #1)
First Name:
Last Name:
Date of Birth:
Entering Grade Level	Pre-KindergartenKindergarten12345678
Current School: (if applicable)
2. (Child #2)
First Name:
Last Name:
Date of Birth:
Entering Grade Level	Pre-KindergartenKindergarten12345678
Current School: (if applicable)
3. (Child #3)
First Name:
Last Name:
Date of Birth:
Entering Grade Level	Pre-KindergartenKindergarten12345678
Current School: (if applicable)
OTHER QUESTIONS:
How did you hear about our school?	Current student/familyChurch BulletinVisit or call from school representativeInternet / Websitefrom AlumniFlyerDirect MailRadio AdOther
If newspaper above, which one?
Who referred us or spoke to you about our school? Do you know anyone who attends St. Charles?
What are you most interested in knowing about our school?
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
Other questions or comments?