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Prospective Family Intention Form

ICD Parish School - Preschool through 8th Grade

Prospective Family Intention Form

Immaculate Conception Catholic School | 2089 Hanley Rd., Dardenne Prairie, MO 63368 Phone 636-561-4450 | www.icdschool.org | [email protected]

ICD Catholic School Policy of Admission, approved by School Board 2018:

Active Parishioner families with children already attending Immaculate Conception Catholic School, preschool through 8th grade.
Parishioners of Immaculate Conception, Dardenne
Non-parishioner Catholics with written permission from their pastor
Non-Catholics. Parents of non-Catholic students must agree to their children’s religious education and participation in religious activities. Enrollment of Non-Catholic students will not be confirmed until August 1st of the coming school year.

Student Information - Please Submit ONE Form PER STUDENT

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

Child's Last Name:*

Answer Required

Child's First Name:*

Answer Required

Child's Date of Birth:*

Answer Required

Age group or grade level desired:*

This will be the program your child will enter in the fall of the year you selected above.

Answer Required

For families indicating preschool, is it your intention to enroll this child in our Kindergarten when they become age eligible?

It is our expectation and hope that students entering ICD's preschool program will remain at Immaculate Conception Parish School through 8th grade.

Answer Required

For families indicating 1st through 8th grade, please give a brief reason why you are leaving your current school:

e.g., moving, desiring Catholic Education

Answer Required

For all families expressing interest, how did you hear about ICD School?*

Answer Required

Father’s Name

(Last, First)

Answer Required

Father's Address

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Father's Cell Phone

Number Required

Father's Email

Answer Required

Mother's Name

(Last, First)

Answer Required

Mother's Address - if the mother's address is the same as the father's address, you may simply enter the cell phone number and email address.

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Mother's Cell Phone

Number Required

Mother's Email

Answer Required

If Other, please explain:

Answer Required

If no, to what Parish or church do you belong?

Answer Required

Through submission of this form, our family is formally expressing our desire to enroll our child in Immaculate Conception Dardenne's Parish School. *

Please enter your full name here as your electronic signature.

Answer Required

Date of Form Submission*

Answer Required

Confirmation Email

Email Required