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BISHOP CARROLL- Interest Form 2025-2026

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.

Student Information

Student's First Name*

Answer required for "Student's First Name"

Middle Name

Answer required for "Middle Name"

Student's Last Name*

Answer required for "Student's Last Name"

Gender*

Answer required for "Gender"

Male

Female

Public School District*

Answer required for "Public School District"

Parochial Elementary School

Answer required for "Parochial Elementary School"

Birthdate*

Answer required for "Birthdate"

Parent Contact Information

Father's First Name

Answer required for "Father's First Name"

Father's Last Name

Answer required for "Father's Last Name"

Mother's First Name

Answer required for "Mother's First Name"

Mother's Last Name

Answer required for "Mother's Last Name"

Parental Status:*

Answer required for "Parental Status:"

Married

Seperated

Divorced

Widowed

Single

Address

Street Address*

Answer required for "Street Address"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

Father's Mobile Number*

Answer required for "Father's Mobile Number"

Mother's Mobile Phone*

Number Required

Home Phone*

Number Required

Work Phone

Number Required

Email 1*

Answer required for "Email 1"

Email 2

Answer required for "Email 2"

Religious Status:

Roman Catholic - Parish

Answer required for "Roman Catholic - Parish"

Non-Roman Rite - Parish

Answer required for "Non-Roman Rite - Parish"

Other (Specify)

Answer required for "Other (Specify)"

Brother/Sister currently attending Bishop Carroll:

Name and Grade:

Answer required for "Name and Grade:"

Name and Grade:

Answer required for "Name and Grade:"

Brother/Sister currently attending Catholic Grade School:

Name, Grade, and School:

Answer required for "Name, Grade, and School:"

Name, Grade, and School:

Answer required for "Name, Grade, and School:"

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

Name:

Answer required for "Name:"

Relationship

Answer required for "Relationship"

Phone

Number Required