INQUIRY FORM
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Thank you for your interest in Eastside Catholic School!
We will be in touch with you soon.
About the Student
Name
First
Middle
Last
Jr
Sr
II
III
IV
Suffix
Gender
Date of Birth
mm/dd/yyyy
Current Grade
Not yet in school
Pre-K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Interested in Grade
6th
7th
8th
9th
10th
11th
12th
Start year
2025-2026
2026-2027
About the Parent/Guardian
Name
Mr.
Mrs.
Ms.
Dr.
Title
First
Middle
Last
Jr
Sr
II
III
IV
Suffix
Preferred Name
Relationship to Student
Mother
Father
Stepmother
Stepfather
Grandmother
Grandfather
Guardian
Primary Phone (xxx-xxx-xxxx)
Cell
Home
Work
Type
Number
Email
How can we help you today?
What questions can we answer?
How would you like us to reach out?
Email
Phone
No Preference
