Saint Eugene School

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- Parent Contact Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- What is the best time to reach you? REQUIRED 9AM - NOON NOON - 5PM 5PM - 9PM Please fill out this field.
- Student Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's DOB REQUIRED Please fill out this field. Please enter a date.
  
  Gender Male Female
  
  Current School REQUIRED Please fill out this field. Please enter valid data.
  
  Looking to enroll for school year: REQUIRED Please fill out this field.
  
  Grade Level REQUIRED Please fill out this field.
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