L.B.C.R.S - Open House Interest Form

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Email *

Mother's First and Last Name *

Father's First and Last Name *

Current Street Address *

Current City and Zip Code *

Home Phone Number *

Cell Phone Number *

Email Address *

What school district do you currently reside in? *

Name of First Child Interested in L.B.C.R.S *

Entering Grade Level of First Child Interested in L.B.C.R.S *

Present School of First Child *

Name of Second Child Interested in L.B.C.R.S

Entering Grade Level of Second Child Interested in L.B.C.R.S

Present School of Second Child

Name of Third Child Interested in L.B.C.R.S

Entering Grade Level of Third Child Interested in L.B.C.R.S

Present School of Third Child

How did you hear about L.B.C.R.S? *

Church Bulletin

Alumni

Friend/Relative

Long Island Catholic

Newspaper Ad

Facebook/Instagram Ad

Open House

Other

Required

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This form was created inside of Diocese of Rockville Centre. Report Abuse