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Request Information

Thank you for your interest in St. Kieran Catholic School!

Please fill out the form below, and our School Office will contact you shortly to provide additional information regarding your request. We would like to set up a meeting with you and your child for a tour of our campus. We will follow up with a brief meeting with our Principal Dr. Belcher with additional information about our school's philosophy and academic expectations.

* 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
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  • State
  • Zip
  • Home Phone
  • How Did You Hear About Us?
    Details:
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  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Email Address
    Confirm Email Address
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
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  • Parent / Guardian Notes
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