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Student Information

	Student's Full Name*

	Student's Email

	Address Line 1*

	Address Line 2

	City*

	State*

	Zip Code*

	Phone Number*

	Alternate Phone

	Current Grade*

	Present School

Parent Information:

Check this box if address and phone are the same as the student.

	Parent/Guardian 1:*

	Parent Email:

	Address 1:*

	Address 2:

	City:*

	State:*

	Zip Code:*

	Home Phone:*

	Alternate Phone:

	Parent/Guardian 2:

	Parent Email 2:

	Address 1:

	Address 2:

	City:

	State:

	Zip Code:

	Home Phone:

	Alternate Phone:

Student Profile

	Grade Applying For:*

	Year*

What are your daughter's favorite subjects? Check all those that apply.

	English
	History
	Mathematics
	Science
	Foreign Language
	Religion
	Arts
	Computer Science

Which athletic team might you be interested in joining? (Check all that apply)

	Soccer
	Volleyball
	Field Hockey
	Cross Country
	Track and Field
	Swimming
	Lacrosse
	Softball
	Golf
	Tennis

What are your favorite extracurricular interests? (check all that apply)

	Community Service
	Theater
	Music
	Dance
	Fine Arts

Are you interested in travel abroad opportunities?

	Yes
	No

How did you hear about Holy Child?

	Guidance Counselor
	School Fair
	Advertisement
	Friend
	Parent
	Other:

Please Note: Questions marked with an asterisk (*) are required.

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