St. Vincent-St. Mary - Dept. of Admissions

STVM Dept. of Admissions

MAILING LIST REQUEST FORM

Student's First Name:	Last Name:
Address:
City:	State: Zip:
Phone:	- -
Current School:
I will be in	grade during the 2007-2008 school year.
Parish/Church:
Date of Birth:	/ /
Gender:	Male Female
Father's First Name:	Last Name:
Daytime Phone:	- -
Mother's First Name:	Last Name:
Daytime Phone:	- -
Additional Phone:	- - (optional)
E-mail Address:

©2005 St. Vincent-St. Mary High School
15 North Maple Street Akron, Ohio 44303
330-253-9113 • Fax: 330-996-0020
E-mail: webmaster@stvm.com