New Family Interest Form

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Grade(s) interested in for the 2024-25 school year: REQUIRED Please fill out this field. Please enter valid data.

Please complete the following information to be included in mailings for registration information.

SMM Parishioner Yes No Interested in becoming a parishioner

How did you hear about us? Family or Friend Advertisement Mailing Neighborhood Signs Social Media Pre-School Church Other

If you have more than one child, please list age(s) and current school(s) attending:

St. Mary Magdalen
School