Inquire On-Line

1.	Your First Name

2.	Your Last Name

3.	Street Address

4.	City

5.	State

6.	Zip

7.	Best phone number to reach you. (Please indicate "home" or "cell"

8.	Your relationship to prospective student(s).

9.	Email Address

10.	1. Prospective Student First Name

11.	1. Prospective Student Last Name

12.	1. Prospective Student Date of Birth
	mm/dd/yyyy

13.	1. Grade interested in
	1. Grade interested in Pre-K 3 Pre-K 4 Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade Sixth Grade Seventh Grade Eighth Grade

14.	1. For which school Year
	1. For which school Year 2022-23 2023-24

15.	1. School Currently Attending (if applicable)

16.	If you have additional prospective students- please indicate below
	2. Prospective Student First Name   2. Prospective Student Last Name

17.	2. Prospective Student Date of Birth
	mm/dd/yyyy

18.	2. Grade Interested In
	2. Grade Interested In PreK3 PreK4 Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade Sixth Grade Seventh Grade Eighth Grade

19.	2. School Currently Attending (if applicable)

20.	2. For which school year?
	2. For which school year? 2022-23 2023-24

21.	SIBLING INFORMATION
	Sibling First Name   Sibling Last Name

22.	Sibling Date of Birth
	mm/dd/yyyy

23.	Please include any additional siblings and dates of birth here

24.	How did you hear about our school?
	Current Student/ Family (please indicate who)   Church Bulletin   You are a Parishioner of Holy Child Parish   Internet web site   Alumnus   Flyer   Mailing   Newspaper (which one)   Other (please specify)

25.	Who referred you? Who has spoken to you about our school? Do you know anyone who attends? If so, please share this information with us so that we can properly thank them.

26.	What are you most interested in knowing about our school? (Please choose all that apply)
	Academic Program   Transportation   Discipline   Religious education/ spiritual opportunities   Financial assistance   Results of standardized tests   Becoming a member of our parish   Facilities   Extra curricular opportunities   Other (please specify)

27.	Would you like to schedule a school visit?
	--None--YesNot at this time

28.	When is the best time to reach you?

29.	Questions or comments that you have at this time: