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Request Information

Thank you for your interest in Holy Name High School--we can't wait to see you on campus this Fall! 

This form is where you will register for Shadowing, Open House, HSPT, and Youth Nights. 

**Please note--this form cannot be edited, so if possible, register for all events at once.

If you have any additional questions, please feel free to reach out to the admissions department at admissions@holynamehs.com.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Cell Phone *
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Cell Phone *
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *

  • Are you a relative of a past or current Holy Name student? 
    * Yes   No

  • How did you hear about us?
    *
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Current School *

  • Are you interested in attending a Shadow Day?
    * Yes   No

  • Are you interested in attending our Open House?
    * Yes   No

  • Are you interested in the High School Placement Test (HSPT)?
    * Yes   No

  • Are you interested in attending an athletic Youth Night?
    * Yes   No
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •