First Name:
Last Name:
Please type your email address twice (to confirm it is correct).
Email:
Confirm:

I am Male Female

Your current school is:

How did you hear about St. Vincent's High School? Newspaper Ad Radio Ad Current Family Friend Family Open House Present School School Website

Current Grade Level	7 8 9 10 11
Hoped for Entry Grade Level	9 10 11 12

Home Address:
City:
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Zip Code:
Home Phone:

Parents & Guardians -- First Adult

First Name:
Last Name:
Please type their email address twice (to confirm it is correct).
Email:
Confirm:

Relation to Student:	Father Mother Guardian Grandfather Grandmother Stepfather Stepmother Aunt Uncle
Best Phone to Contact At:

Parents & Guardians -- Second Adult (Optional)

First Name:
Last Name:
Please type their email address twice (to confirm it is correct).
Email:
Confirm:

Relation to Student:	Father Mother Guardian Grandfather Grandmother Stepfather Stepmother Aunt Uncle
Best Phone to Contact At:

Special Shadowing Days Special shadowing days have been arranged for students from the following schools. If you checked a button above to indicate you are attending one of these schools, then you are eligible to attend on one of the following special days. Highlight the dayfor your school that you would like to attend. - St. Vincent Elementary School - Friday, October 4, 2013 - Our Lady of Loretto - Friday, November 15, 2013 - Good Shepherd - Thursday, November 7, 2013 - I will not attend any of the above.

Please choose your preferred weeks, where '1' is most preferred, and '3' is least.

Check off all activities that you have an interest in: