Skip Navigation

Request Information

J.M.J

Thank you for your interest in our school!

Please fill out the form below and our team will contact you as soon as possible.

God bless!

Your friends at Holy Name

* 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:

  • Why do you think Holy Name will be a good fit for your child(ren)?

  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Current School
    Other:

  • What are some of your hobbies or interests?

  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •