ENROLLMENT FORM

We are now accepting applications for all grade levels (9th, 10th, 11th, and 12th grade) for the Fall of 2023-2024.

Student Information

Student Full Name

Grade for 2023-24 Year

City, State of Birth

Date of Birth (MM/DD/YYYY)

New or Returning Student

Male or Female

Household Information

Mailing Address

Physical Address (copy & paste if same as mailing)

Primary Phone Number

Primary Email for Family

What Parish are you Registered at?

What School District do you Reside in?

Do we have permission to include you in the School Directory?

Parent 1

Name

Cell Phone

Employer

Relation to Student

Work Phone

Occupation

Is this parent the one responsible for overseeing the financial responsibility of tuition and overall correspondence with the school?

YesNo

Parent 2

Name

Cell Phone

Employer

Relation to Student

Work Phone

Occupation

Is this parent the one responsible for overseeing the financial responsibility of tuition and overall correspondence with the school?

YesNo

Emergency Contact Name

Emergency Contact

Relationship to Student

Phone

Health Information

Allergies

Medical Conditions

Medications

Dentist Name and Phone

Physician Name and Phone

Supplemental Questions

Please describe your educational history

Is there anything else you would like us to know?