Request Information

To begin the admissions process, please submit an inquiry and we will contact you with further information.

Request Information Form

• Child's Name (first and last) *

• Child's Birthday (MM/DD/YY) *

• Grade Interested in / School Year *

• Mother's Name (first and last)

• Mother's Phone

• Mother's Email

• Father's Name (first and last)

• Father's Phone

• Father's Email

• Address *

• State, Zip Code *

• Please tell us what is most important to you as you are considering schools for your child.

• How did you hear about DuBois Central Catholic?

• Additional Comments