ICS

Welcome to our school! How can we help you today?

I would like to:

After submitting this form, please visit our website, www.theics.org, to register for upcoming admissions events.

Tell us more...

What would you like to learn about our school?

How would you like us to contact you?

About the Student

Student's Name

First

Last

Preferred Name

Gender

Date of Birth

mm/dd/yyyy

Inquiring about Grade

For the Fall of

School Currently Attending

Please specify

Other Hobbies & Interests

About the Parents & Guardians

Name

Title

First

Last

Relationship to Student

Primary Phone

Type

Number

Email Address

Mailing Address

Did parent attend Immaculate Conception School?

Yes No

What year did you graduate?

Would you like to enter contact information for an additional parent?

Yes No

Name

Title

First

Last

Relationship to Student

Primary Phone

Type

Number

Email Address

Mailing Address

Are you a registered member at a Catholic parish?

Yes No

Parish

Please specify

Please name your place of worship (if applicable)

Thanks for reaching out! Out of curiosity...

Please specify

Referral Family (Only one family name may be designated.)

Please specify additional referral sources:

The information on this form will help our Admissions Office begin a conversation with you. Your information will only be used for Admissions purposes and will not be shared with any other organization. Upon submission, a member of our Admissions staff will contact you to follow up on your request and answer any questions you may have. We look forward to getting to know you better!