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Request Information

Welcome to Bishop Larkin Catholic School!  Thank you for taking the time to learn about us.  Once we have received the completed form, we will contact you with more information on the admission process and schedule a personal tour of our school.  Please take a few minutes to complete this form.  Thank you!

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • Last Name *
  • First Name *
  • Middle Name
  • Salutation *
  • Email Address *
  • Gender
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone
    (Ex: 999-999-9999)
  • Second Parent / Guardian
    (leave blank if not applicable)
  • Last Name *
  • First Name *
  • Middle Name
  • Salutation *
  • Email Address *
  • Gender
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone
    (Ex: 999-999-9999)
Home Address
  • Street Address
  • City
  • Country
  • State
  • Zip
  • Home Phone *
    (Ex: 999-999-9999)
  • How Did You Hear About Us?
    Details:
  • Parish Affiliation:

    *
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Email Address *
    Gender
    Male    Female
  • Grade Level of Interest *
    School Year *
  • Current School
  • Please include any additional information that may be helpful:

  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •