Admissions Request Please fill out the form below. For more information on admissions please contact: Mrs. Kelly Rogers at firstname.lastname@example.org Your Name Address (street) Preferred Phone Contact Number Please Indicate Home PhoneCell PhoneWork Phone E-mail Address Please fill in the information below. If you have more than three children who may be applying for Saint Catherine Laboure School, we will add the information when we speak with you. Please check all areas of interest. Pre-K 3 or 4 year oldKindergartenGrades 1-8 First Child's Name Birth date First Child's Grade beginning August 2016-2017 Second Child's Name Second Child's Birth date Second Child's Grade beginning August 2016-17 Third Child's Name Third Child's Birth date Third Child's Grade beginning August 2016-17 Previous School (please give name of school, city and state Saint Catherine Laboure School does not discriminate on the basis of Race, Ethnicity or Religious background. The following questions are for informational purposes only and will not have any bearing on our admittance policies. Language spoken at home Religious affiliation Roman CatholicProtestantOther Is there anything you would like us to know before we contact you? Why are you considering Saint Catherine Laboure School for your child's education?