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If you have not yet toured our school, we would be delighted to have you visit. You may arrange a tour by contacting Director of Admissions and Enrollment, Chris Gooden, at [email protected] or by calling (423) 899-1999. We look forward to hearing more about your child and helping you learn more about St. Nicholas School as you consider educational choices for your family.

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Student

Full Name of Student* *

Called Name of Student* *

Birthdate* *

Grade Level Interest* *

Home Phone* *

Street Address* *

Apt #

City* *

State* *

Zip* *

PARENT APPLYING

Parent Name* *

Parent Phone* *

Business Phone

Email* *

Place of Employment

How do you prefer we contact you?

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Phone

PARENT 2

Parent 2 Name

Parent 2 Phone

Parent 2 Business Phone

Parent 2 Email

Parent 2 Place of Employment

How do you prefer we contact you?

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Phone

Other Information

Religious Affiliation (Optional)

If Episcopal, which parish?

How did you hear about the St. Nicholas program? *

Optional information about your child

Payment Information
Payment Description	Application Fee @ $75.00 each.
Quantity
Payment Amount	$0.00

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