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Apply to Holy Child Academy

Required

Namerequired
First Name
Applicant's Familiar Name (optional)
Middle (optional)
Last Name
Must contain a date in M/D/YYYY format
Genderrequired
Please enter NA if not applicable
Please enter NA if not applicable
Has the applicant ever been recommended for evaluation or evaluated for academic, speech, language, sensory integration, physical, behavioral, emotional, or attention difficulties by a school official, psychologist, physician or other professional?required
Has the applicant ever been diagnosed with a medical condition or allergy?*required
Does the applicant take any prescription medication?required
Family Information
Applicant lives with (Check all that apply.)required
Marital Status (Check any that apply.)required
Father/Guardian
Namerequired
First Name
Middle (optional)
Last Name
Education
Please enter NA if not applicable​
Please enter NA if not applicable​
Please enter NA if not applicable​
Please enter NA if not applicable​
Mother/Guardian
Namerequired
First Name
Middle (optional)
Last Name
Education
Please enter NA if not applicable​
Please enter NA if not applicable​​
Please enter NA if not applicable​
Please enter NA if not applicable​​
Family Information
Other Children in Familyrequired
Please enter NA if not applicable​​
How did you learn about Holy Child Academy?required

Agreement

APPLICATION FEE: $50
 

By filing this form, I understand that the applicant will be considered for admission to Holy Child Academy and that Holy Child Academy will require recommendations and transcripts from the applicant's current school.

By completing this application, I/we the parent(s) or guardian(s) of this applicant affirm that I/we have given completely truthful information herein. I/we understand that any omission or false statement within this application may result in withdrawal of acceptance.

$50.00

Payment Information

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Billing Addressrequired
Cardholder Namerequired
Expirationrequired