Admissions

Academic Year of Interest (select one) REQUIRED 2024-2025 Please fill out this field.

Grade Interested In REQUIRED 3K PreK 4 Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th Please fill out this field.

Child's Name REQUIRED Please fill out this field. Please enter valid data.

Child's Current School REQUIRED Please fill out this field. Please enter valid data.

Parent's Name REQUIRED Please fill out this field. Please enter valid data.

Primary Contact (select one)

Relationship to student REQUIRED Please fill out this field. Please enter valid data.

Street Address and Apartment # REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Work Phone Number Please enter a phone number.

Cell Phone Number Please enter a phone number.

St. Anselm Parochial School