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Family Interest Form

Tell us a little about you:

What is your first name?*

What is your last name?*

Street Address*

City*

State*

Zip/Postal*

What is the best phone number to reach you?*

What is your email address?*

What is your child's first name?*

What is your child's last name?*

For what school year are you applying?*

ex. 2016-2017

What is your child's current age? *

When is your child's birthday?*

What is your child's gender?*

Male

Female

Do you have additional children applying to St. Richard? Please list them here:

Where does child attend school currently?*

Does your child have any special needs which St. Richard should be made aware?*

Yes

If yes, please specify below:

How did you hear about us? *

Friend/Family

Parish bulletin/newspaper/magazine

Received an open house / tour invitation

Google Search

Other

Confirmation Email

Enter your email address here if you'd like to receive a confirmation upon submitting the form.