Open House Registration Form
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Last name of student: *
First name of student: *
Gender of student: *
Birthdate of student: *
MM
/
DD
/
YYYY
Current school:
If current school is not listed above, please indicate school name:
Current Grade: *
For what year are you seeking admission to St. Elizabeth High School? *
Street address: *
City: *
State: *
Zip: *
Home telephone number: *
Parent/Guardian name: *
Parent/Guardian cell number: *
Parent/Guardian email address: *
How did you hear about St. E and our Open House? *
Check all that apply.
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