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Date: (required)

Parent's Name(s): (required)

School Year: (required)

Your Email (required)

Your Address (required)

City, State, and Zip (required)

Phone Number (required)

Catholic or Non-Catholic? (required)
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Parish (required)

How did you hear about our school? (required)

What school is your child currently attending? (required)

Is your child receiving any education assistance? (required)

Child's Name(s), Date of Birth, Grade Entering at SJNCS (required)

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