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Thank you for your interest in Roanoke Catholic School!

Please fill out the form below and our Admissions Office will contact you with more information.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • Last Name *
  • First Name *
  • Salutation
  • Email Address *
  • Gender
    Male    Female
  • Cell Phone
    (Ex: 999-999-9999)
  • Second Parent / Guardian
    (leave blank if not applicable)
  • Last Name *
  • First Name *
  • Salutation
  • Email Address *
  • Gender
    Male    Female
  • Cell Phone
    (Ex: 999-999-9999)
  • How did you hear about us? *
    Details:
  • Would you be interested in receiving information on the boarding option available to Roanoke Catholic School students?

     

    Yes   No
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
    Male    Female
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •