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Student Information
Student Name
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Student's Date of Birth
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Student's Current Grade
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Interested in Grade
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For the year of
2024-2025
2025-2026
2026-2027
2027-2028
2028-2029
2029-2030
Student's Current School
Academy of the Sacred Heart
Antonia Middle School
Ascension
Assumption
Bayless
Bernard Middle
Blessed Sacrament - Belleville, IL
Blessed Teresa Calcutta
Brentwood Middle
Carriel Junior High School
Christ Community Lutheran
Christ Light of the Nations
Christ Prince of Peace
Christ the King
Christ Light of the Nations
Churchill
City Garden Montessori
Columbia Middle
Crestview Middle
Crossroads College Prep
De la Salle
DeSoto
Fort Zumwalt South Middle
Fox Middle
Francis Howell Middle
Fulton Jr. High School
Gateway Science Academy
Grand Center Arts Academy
Green Park Lutheran
Hawthorn Leadership School for Girls
Hazelwood North Middle
Hixson Middle
Hoech Middle
Hollenbeck Middle School
Holy Child
Holy Cross Academy
Holy Infant
Holy Redeemer
Holy Trinity
Holy Trinity - Fairview Heights, IL
Home School
Immacolata
Immaculate Conception - Columbia, IL
Immaculate Heart of Mary
Incarnate Word
John Burroughs
KIPP
Ladue Middle
Lasalle Springs
Little Flower
Maplewood Richmond Heights Middle
Marian Middle
Mary Queen of Peace
McKinley Classical Leadership Academy Middle
MICDS
Millstadt Consolidated
Nipher Middle
North Kirkwood Middle
Oakville Middle
Our Lady Queen of Peace
Our Lady of Lourdes
Our Lady of Sorrows
Our Lady of the Pillar
Parkway Central Middle
Parkway Northeast Middle
Parkway South Middle
Parkway Southwest Middle School
Parkway West Middle
Pattonville Heights Middle
Premier Charter School
Queen of All Saints
Remington Traditional
Ridgewood Middle
Rockwood South Middle
Rockwood Valley Middle
Rogers Middle School
Sacred Heart Valley Park
Sacred Heart Eureka
Salem Lutheran
Seckman Middle
Signal Hill School
South City Catholic Academy
Sperreng Middle
Sr. Thea Bowman
SS. Peter & Paul - Collinsville, IL
Sts. Peter and Paul
St. Alban Roe
St. Ambrose
St. Angela Merici
St. Ann
St. Bridget of Kildare
St. Catherine Laboure
St. Cecilia
St. Charles Borromeo
St. Clare - O'Fallon, IL
St. Clare of Assisi
St. Clement of Rome
St. Cletus
St. Frances Cabrini
St. Francis of Assisi
St. Gabriel the Archangel
St. Gerard Majella
St. James the Greater
St. Joan of Arc
St. John Neumann - Maryville, IL
St. Joseph - Cottleville
St. Joseph - Imperial
St. Joseph - Manchester
St. Justin Martyr
St. Louis Catholic Academy
St. Louis Charter
St. Louis the King
St. Louis the King
St. Margaret Mary Alacoque
St. Margaret of Scotland
St. Mark
St. Mary Magdalen
St. Michael School of Clayton
St. Monica
St. Norbert
St. Patrick
St. Paul - Fenton
St. Paul Lutheran
St. Peter - Kirkwood
St. Peter and Paul - Waterloo, IL
St. Raphael the Archangel
St. Richard
St. Roch
St. Rose Philippine
St. Simon the Apostle
St. Stephen Protomartyr
St. Teresa - Belleville, IL
Ste. Genevieve du Bois
Steger
Sts. Joachim and Ann
The College School
The Waldorf School of St. Louis
Tower Grove Christian Academy
Truman Middle
Valley Park Middle School
Villa Duchesne
Visitation
Washington Middle
Wentzville South Middle
Westminster Christian Academy
Wildwood Middle
Wolf Branch Middle
Wydown Middle
John Burroughs
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Student Cell Phone
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Household Information
Parent's Name
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Mrs.
Ms.
Dr.
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Parent's Relationship to Student
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Parent's Primary Phone (xxx-xxx-xxxx)
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By selecting yes, you are agreeing to receive SMS text messages from Nerinx Hall. Notification frequency varies. Message & data rates may apply. To opt-out of all SMS notifications from this organization, select no or text STOP to 1-844-986-2059.
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Parent's Secondary Phone (xxx-xxx-xxxx)
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By selecting yes, you are agreeing to receive SMS text messages from Nerinx Hall. Notification frequency varies. Message & data rates may apply. To opt-out of all SMS notifications from this organization, select no or text STOP to 1-844-986-2059.
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Student's Mailing Address
Is the student related to any Nerinx Hall alumnae?
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Alumna Name
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Mrs.
Ms.
Dr.
Title
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Last
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Preferred Name
Maiden Name
Relationship to Student
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Nerinx Hall Class of
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