Skip Navigation

Request Information

 

Thank you for your interest in St. Clare Catholic School.

Please fill out the form below and our Admissions Office will contact you and provide the requested information.

* Indicates a required field.

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

  • What interests you the most about our school?
    *

  • What is your Religion?
    *

  • Sibling of current student?
    * Yes   No

  • Register for Open House?
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Email Address *
    Confirm Email Address *
  • Grade Level of Interest *
    School Year *
  • Student Interests
  • Current School *

  • Has the student ever been diagnosed with a learning difference (e.g., ADD/ADHD, Dyslexia, Dysgraphia, etc.)? Please Specify.
    *

  • Has the student ever had a psychoeducational evaluation?
    * Yes   No

  • Has the student received any support services such as tutoring, speech, or accommodations (e.g., extra time on tests)? Please specify.
    *

  • Is there anything else you would like us to know about the student’s learning needs or any specific support they may require to succeed academically?
    *
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •