Thank you for your interest in St. Agnes School.  Please complete the form below and we will mail you information as soon as possible. 

First Name of Student: 

Last Name of Student: 

Middle Name of Student: 

Current Grade:         Current School: 

Parish: 

Parent/Guardian Name: 

Street Address: 

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Telephone: 

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Please list any family members (name and relationship) who currently attend St. Agnes School, or who are alums of St. Agnes School:

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