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Request Information

We are excited that you and your family are interested in St. Bernard Catholic School!  We ask that you begin by completing the following information and then clicking "submit".  You will be contacted by our Admissions Coordinator, Amanda Stewart to proceed with the application process.  This is the first step in the application process.

 

May God Bless You and your family as you search for the right school for your family!

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Cell Phone *
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Cell Phone *
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *
  • Home Phone
  • How Did You Hear About Us? *
    Details:

  • What day(s) of the week are you available for a school tour?
    *

  • What time of the day are you available for a tour?
    *
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Current School

  • Has your student been evaluated or diagnosed with a speech, learning difference, emotional or behavioral difficulty?
    * Yes   No
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •