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Thank you for your interest in Holy Cross Regional Catholic School!

Please fill out the form below and our Admissions Office will be in touch.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • Last Name *
  • First Name *
  • Salutation *
  • Email Address *
  • Gender *
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone
    (Ex: 999-999-9999)
  • Second Parent / Guardian
    (leave blank if not applicable)
  • Last Name *
  • First Name *
  • Salutation *
  • Email Address *
  • Gender *
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone
    (Ex: 999-999-9999)
Home Address
  • Street Address *
  • City *
  • Country *
  • State *
  • Zip *
  • Home Phone
    (Ex: 999-999-9999)
  • How Did You Hear About Us? *
    Details:
  • Are you interested in Financial Aid or the Segura Program?

    * Yes   No
  •  
  • Student 1
  • First Name *
    Middle Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Email Address
    Gender *
    Male    Female
  • Grade Level of Interest *
    School Year *
  • Student Interests
    Fall Sports
    Winter Sports
    Spring Sports
    Clubs/Organizations
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •