Mother Mary Lange Catholic School

We look forward to meeting you!

Welcome to our school!

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About the Student

Student's Name

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Middle

Last

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Preferred Name

Gender

Date of Birth

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Current Grade

Inquiring about Grade

For the Year of

School Currently Attending

If "Other", please list the school your child is currently attending.

About the Parents & Guardians

Name

Title

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Middle

Last

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Preferred Name

Relationship to Student

Cell Phone

Email Address

Mailing Address

Are you a registered member at a Catholic parish?

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Parish

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Please name your place of worship (if applicable)

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How did you hear about us?

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The information on this form will help our Admissions Office begin a conversation with you. Your information will only be used for Admissions purposes and will not be shared with any other organization. Upon submission, a member of our Admissions staff will contact you to follow up on your request and answer any questions you may have.