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Mary Immaculate Inquiry Form

Thank you for your interest in Mary Immaculate Catholic School! 

We look forward to meeting you soon!

 

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender *
  • Cell Phone *
  • How Did You Hear About Us? *
    Details:
  • Register for Upcoming Open Houses! Take a tour with one of our Student Ambassadors and hear from Sister Mary Anne and Father Alfonse about all that Mary Immaculate has to offer your student and family. 

  • If Catholic, at which parish(es) are you registered?

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  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
    Yes No
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  • Parent / Guardian Notes
  •