Regis High School

REACH Request an Application

Student Information
Legal first name:
Legal last name:
Is the prospective applicant a baptized Roman Catholic?
Date of Birth (format yyyy-mm-dd) :
Current grade
Current School:
Contact Information Household where the student primarily lives. Correspondence will be sent to this address.
Address:
City:
State:
Zip:
Country:
Geographical Area:
Primary Phone:
Primary contact phone number.
Primary Contact Email:
Please provide an e-mail address that is checked regularly by the parent(s) of the prospective student.
Parent / Guardian Information
Relation to student:
Title:
First name:
Last name:
Phone:
Email:
Relation to student:
Title:
First name:
Last name:
Phone:
Email:


How did you hear about us?

Additional Comments