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Join Our Mailing List for Future Raiders!

This form is for prospective students and their families.

Thank you for your interest in our school!

Please fill out the form below and our Admissions Office will add you to our mailing list.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation
  • Email Address *
  • Confirm Email Address *
  • Work Phone
  • Cell Phone
Home Address
  • Street Address
  • City
  • Country
  • State
  • Zip
  • Home Phone
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
  • Email Address
    Confirm Email Address
  • Grade Level of Interest *
    School Year *
  • Current School
  • Current Grade Level

    *
  • Is this student's father a graduate of Archbishop Rummel High School?

    If so, please type his father's name and graduation year. 

    If not, leave blank. 

  •  
  • Is There Another Student?
    Yes No
  •