Placement request form

* Indicates required field

Family Name *

Child's Name: *

25-26 Grade Level *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

***Child's current class if requesting a switch*** *

Phone Number *

Cell Number *

We cannot guarantee a class at every time. Availability is dependent on our volunteer catechists.
Please consider volunteering your time.

Levels 2 - 6

1st Choice *

Weekday Times *

Weekend Times *

2nd Choice *

2nd choice *

Select One *

All days available *

Other times *

Additional Info *

Other *

Levels 7 - 8

1st Choice *

weekday times *

Weekend Times *

2nd choice *

All days available *

other times *

Additional Info *

Other *

Submit

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