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BISHOP CARROLL- Interest Form 2023-2024

Please complete the form below. Required fields marked with an asterisk *

Please note that this is NOT a registration form for current and new families but a general interest form for those interested in BCCHS.

For CURRENT students, the NEW link is found on PowerSchool at https://eschool.daj.k12.pa.us/. You must have your PowerSchool log-in information to complete. The information can be obtained by contacting the school if you have misplaced yours. The registration tab is on the left hand side.

NEW STUDENT REGISTRATION: https://enrollment.powerschool.com/family/gosnap.aspx?action=200001316&culture=en

Student Information

Student's First Name*

Answer Required

Middle Name

Answer Required

Student's Last Name*

Answer Required

Gender*

Answer Required

Male

Female

Public School District*

Answer Required

Parochial Elementary School

Answer Required

Birthdate*

Answer Required

Parent Contact Information

Father's First Name

Answer Required

Father's Last Name

Answer Required

Mother's First Name

Answer Required

Mother's Last Name

Answer Required

Parental Status:*

Answer Required

Married

Seperated

Divorced

Widowed

Single

Address

Street Address*

Answer Required

City*

Answer Required

Zip/Postal*

Answer Required

Father's Mobile Number*

Answer Required

Mother's Mobile Phone*

Number Required

Home Phone*

Number Required

Work Phone

Number Required

Email 1*

Answer Required

Email 2

Answer Required

Religious Status:

Roman Catholic - Parish

Answer Required

Non-Roman Rite - Parish

Answer Required

Other (Specify)

Answer Required

Brother/Sister currently attending Bishop Carroll:

Name and Grade:

Answer Required

Name and Grade:

Answer Required

Brother/Sister currently attending Catholic Grade School:

Name, Grade, and School:

Answer Required

Name, Grade, and School:

Answer Required

Person to contact in case of an emegency if parent(s) cannot be reached:

Name:

Answer Required

Relationship

Answer Required

Phone

Number Required