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Request Information

Thank you for your interest in Nazareth Academy Catholic School! Please fill out the form below and our Admissions Office will contact you and provide the information you desire.

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Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Work Phone
  • Cell Phone *
  • Home Phone
  • How Did You Hear About Us? *
    Details:

  • Religious Affiliation
    *
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Student Interests
    Fall Sports
    Spring Sports
    Year Round Activities
    Student Organizations
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •