Parish
(309) 452-2585
School
(309) 452-3268
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Thank you for your interest in our school!Please fill out the form below and our Administrative Office will contact you and provide the information you desire.
Parent / Guardian Information
First Parent / Guardian
Select Salutation*
Col.
Dr.
Fr.
Miss
Mr.
Mrs.
Ms.
Msgr.
Sr.
Select Gender*
Female
Male
Second Parent / Guardian
(leave blank if not applicable)
Select Salutation
Col.
Dr.
Fr.
Miss
Mr.
Mrs.
Ms.
Msgr.
Sr.
Select Gender
Female
Male
Home Address
Select State*
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District of Columbia
United States (USA)
How Did You Hear About Us? *
Current student
Drove by school
Former parent
Internet
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Other
Pastor
Phonebook
Word of mouth
Are you the student's primary guardian? *
Yes
No
Are you Catholic? *
Yes
No
Student
Select Gender
Female
Male
Grade Level of Interest
PK3
PK3MWF
PK4
K
01
02
03
04
05
06
07
08
School Year
2026-2027
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