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Request Information

Thank you for your interest in St. Bernard's Elementary School!

Please fill out the form below, and our Admissions Office will contact you shortly to provide additional information regarding your request.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Cell Phone *
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *
  • Home Phone
  • How Did You Hear About Us? *
    Details:

  • Student has been recommended for Early Intervention Services
    * Yes   No

  • Student has received Early Intervention Services.
    * Yes   No

  • Student is currently on/receives:
    *

  • The best way to learn what St. Bernard’s Elementary is all about is to visit us for a tour.

    Would you be interested in taking a tour?
    * Yes   No
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Current School *
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •