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Immaculate Conception
PARISH
Annandale, NJ
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Home
About Us
Pastor's Welcome
History
Mission
Parish Directory
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Pastoral Council
Become a Parishioner
Parish News and Events
Upcoming Parish Events
Bulletins
Forms & Registration
Parish Event Calendar
Photo Albums
Resources
Catholic Links
Round Valley Deanery
KOC Council #6245
Our Faith Community
About our Church
Contact Us
Clergy & Office Staff
Mass Times
Confessions
What We Do
Sacraments
Community Building
Faith Formation
Liturgical Ministries
Outreach Ministries
Parish Religious Education Program (PREP)
Service to the Church
Social Ministries
Sponsored Organizations
Wellness and Compassion
What to know About...
Altar Rosary Society
Altar Servers
Anointing of the Sick
Baptism
Bereavement
Bible Study
Book Club
Children's Liturgy of the Word
Confession/Penance
Confirmation
Cub Scouts
Employment Circle
Eucharist
ExtraOrdinary Ministers of the Eucharist
F - O
Festival of Praise
Food Pantry
Girl Scouts
Holy Orders/Ordination
Interfaith Hospitality Network
(KoC) Knights of Columbus
Lectors
Living Faith Prayer Group
Marriage
Men's 50+ Club
Men's Cornerstone
Men's Journey
Music Ministry
P - Z
(PREP) Parish Religious Education Program
Prison Ministry
Pro-Life Ministry
(RCIA) Rite of Christian Initiation of Adults
Sanctuary Guild
Spiritual Direction
Social Concerns
Teen Christian Initiation
Ushers
Vacation Bible School
Welcoming Ministry
Women's Cornerstone
Youth Group
Our School
About our School
Mission
School Website
ICS Upcoming Events
Our Cemetery
Cemetery & Mausoleum
Support Us
Monetary Support
Ways to Give
Faith Direct
Envelope Giving
One Time Gift and/or Donation
Volunteer Opportunities
Application 2019-20
The maximum number of form submissions has been reached. This form is currently not available.
Family Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Were you referred by a current ICS family?
Yes
No
We are a current ICS Family
If yes, please let us know the ICS family who referred you so we can thank them
Please enter valid data.
Number of children to be registered
REQUIRED
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Student 1
First Name
REQUIRED
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Last Name
REQUIRED
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Gender
REQUIRED
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Female
Male
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Birthdate
REQUIRED
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Please enter a date.
Ethnicity
REQUIRED
(Select One)
African American
Asian
Caucasian
Hawaiian / Pacific Islander
Hispanic
Multi Racial
Native American
Other
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Grade September 2019
REQUIRED
(Select One)
Preschool 2-Year-Old AM Program (Must be 2 by Oct 1)
Preschool 2-Year-Old PM Program (Must be 2 by Oct 1)
Preschool 3-Year-Old AM Program (Must be 3 by Oct 1)
Preschool 3-Year-Old PM Program (Must be 3 by Oct 1)
Preschool 4-Year-Old AM Program (Must be 4 by Oct 1)
Preschool 4-Year-Old PM Program (Must be 4 by Oct 1)
Transitional Kindergarten (Must be 5 by Dec 31)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Please fill out this field.
School and location transferring from
Please enter valid data.
My child has received the following Sacraments (new students please submit certificate copies with registration)
Baptism
First Holy Communion
Confirmation
None
Has the applicant ever been diagnosed or evaluated as having any learning disabilities?
Yes
No
Does the applicant have an Individual Education Plan (IEP) or 504 Support Plan?
Yes
No
Has the applicant ever received any supplemental education services, public or private?
Yes
No
Has the applicant ever received severe disciplinary action at school (resulting in suspension or expulsion)?
Yes
No
Student 2
First Name
REQUIRED
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Please enter valid data.
Last Name
REQUIRED
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Please enter valid data.
Gender
REQUIRED
(Select One)
Female
Male
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Birthdate
REQUIRED
Please fill out this field.
Please enter a date.
Ethnicity
REQUIRED
(Select One)
African American
Asian
Caucasian
Hawaiian / Pacific Islander
Hispanic
Multi Racial
Native American
Other
Please fill out this field.
Grade September 2019
REQUIRED
(Select One)
Preschool 2-Year-Old AM Program (Must be 2 by Oct 1)
Preschool 2-Year-Old PM Program (Must be 2 by Oct 1)
Preschool 3-Year-Old AM Program (Must be 3 by Oct 1)
Preschool 3-Year-Old PM Program (Must be 3 by Oct 1)
Preschool 4-Year-Old AM Program (Must be 4 by Oct 1)
Preschool 4-Year-Old PM Program (Must be 4 by Oct 1)
Transitional Kindergarten (Must be 5 by Dec 31)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Please fill out this field.
School and location transferring from
Please enter valid data.
My child has received the following Sacraments (new students please submit certificate copies with registration)
Baptism
First Holy Communion
Confirmation
None
Has the applicant ever been diagnosed or evaluated as having any learning disabilities?
Yes
No
Does the applicant have an Individual Education Plan (IEP) or 504 Support Plan?
Yes
No
Has the applicant ever received any supplemental education services, public or private?
Yes
No
Has the applicant ever received severe disciplinary action at school (resulting in suspension or expulsion)?
Yes
No
Student 3
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
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Please enter valid data.
Gender
REQUIRED
(Select One)
Female
Male
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Birthdate
REQUIRED
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Please enter a date.
Ethnicity
REQUIRED
(Select One)
African American
Asian
Caucasian
Hawaiian / Pacific Islander
Hispanic
Multi Racial
Native American
Other
Please fill out this field.
Grade September 2019
REQUIRED
(Select One)
Preschool 2-Year-Old AM Program (Must be 2 by Oct 1)
Preschool 2-Year-Old PM Program (Must be 2 by Oct 1)
Preschool 3-Year-Old AM Program (Must be 3 by Oct 1)
Preschool 3-Year-Old PM Program (Must be 3 by Oct 1)
Preschool 4-Year-Old AM Program (Must be 4 by Oct 1)
Preschool 4-Year-Old PM Program (Must be 4 by Oct 1)
Transitional Kindergarten (Must be 5 by Dec 31)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Please fill out this field.
School and location transferring from
Please enter valid data.
My child has received the following Sacraments (new students please submit certificate copies with registration)
Baptism
First Holy Communion
Confirmation
None
Has the applicant ever been diagnosed or evaluated as having any learning disabilities?
Yes
No
Does the applicant have an Individual Education Plan (IEP) or 504 Support Plan?
Yes
No
Has the applicant ever received any supplemental education services, public or private?
Yes
No
Has the applicant ever received severe disciplinary action at school (resulting in suspension or expulsion)?
Yes
No
Student 4
First Name
REQUIRED
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Please enter valid data.
Last Name
REQUIRED
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Please enter valid data.
Gender
REQUIRED
(Select One)
Female
Male
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Birthdate
REQUIRED
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Please enter a date.
Ethnicity
REQUIRED
(Select One)
African American
Asian
Caucasian
Hawaiian / Pacific Islander
Hispanic
Multi Racial
Native American
Other
Please fill out this field.
Grade September 2019
REQUIRED
(Select One)
Preschool 2-Year-Old AM Program (Must be 2 by Oct 1)
Preschool 2-Year-Old PM Program (Must be 2 by Oct 1)
Preschool 3-Year-Old AM Program (Must be 3 by Oct 1)
Preschool 3-Year-Old PM Program (Must be 3 by Oct 1)
Preschool 4-Year-Old AM Program (Must be 4 by Oct 1)
Preschool 4-Year-Old PM Program (Must be 4 by Oct 1)
Transitional Kindergarten (Must be 5 by Dec 31)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Please fill out this field.
School and location transferring from
Please enter valid data.
My child has received the following Sacraments (new students please submit certificate copies with registration)
Baptism
First Holy Communion
Confirmation
None
Has the applicant ever been diagnosed or evaluated as having any learning disabilities?
Yes
No
Does the applicant have an Individual Education Plan (IEP) or 504 Support Plan?
Yes
No
Has the applicant ever received any supplemental education services, public or private?
Yes
No
Has the applicant ever received severe disciplinary action at school (resulting in suspension or expulsion)?
Yes
No
Student 5
First Name
REQUIRED
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Please enter valid data.
Last Name
REQUIRED
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Please enter valid data.
Gender
REQUIRED
(Select One)
Female
Male
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Birthdate
REQUIRED
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Please enter a date.
Ethnicity
REQUIRED
(Select One)
African American
Asian
Caucasian
Hawaiian / Pacific Islander
Hispanic
Multi Racial
Native American
Other
Please fill out this field.
Grade September 2019
REQUIRED
(Select One)
Preschool 2-Year-Old AM Program (Must be 2 by Oct 1)
Preschool 2-Year-Old PM Program (Must be 2 by Oct 1)
Preschool 3-Year-Old AM Program (Must be 3 by Oct 1)
Preschool 3-Year-Old PM Program (Must be 3 by Oct 1)
Preschool 4-Year-Old AM Program (Must be 4 by Oct 1)
Preschool 4-Year-Old PM Program (Must be 4 by Oct 1)
Transitional Kindergarten (Must be 5 by Dec 31)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Please fill out this field.
School and location transferring from
Please enter valid data.
My child has received the following Sacraments (new students please submit certificate copies with registration)
Baptism
First Holy Communion
Confirmation
None
Has the applicant ever been diagnosed or evaluated as having any learning disabilities?
Yes
No
Does the applicant have an Individual Education Plan (IEP) or 504 Support Plan?
Yes
No
Has the applicant ever received any supplemental education services, public or private?
Yes
No
Has the applicant ever received severe disciplinary action at school (resulting in suspension or expulsion)?
Yes
No
Student 6
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Gender
REQUIRED
(Select One)
Female
Male
Please fill out this field.
Birthdate
REQUIRED
Please fill out this field.
Please enter a date.
Ethnicity
REQUIRED
(Select One)
African American
Asian
Caucasian
Hawaiian / Pacific Islander
Hispanic
Multi Racial
Native American
Other
Please fill out this field.
Grade September 2019
REQUIRED
(Select One)
Preschool 2-Year-Old AM Program (Must be 2 by Oct 1)
Preschool 2-Year-Old PM Program (Must be 2 by Oct 1)
Preschool 3-Year-Old AM Program (Must be 3 by Oct 1)
Preschool 3-Year-Old PM Program (Must be 3 by Oct 1)
Preschool 4-Year-Old AM Program (Must be 4 by Oct 1)
Preschool 4-Year-Old PM Program (Must be 4 by Oct 1)
Transitional Kindergarten (Must be 5 by Dec 31)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Please fill out this field.
School and location transferring from
Please enter valid data.
My child has received the following Sacraments (new students please submit certificate copies with registration)
Baptism
First Holy Communion
Confirmation
None
Has the applicant ever been diagnosed or evaluated as having any learning disabilities?
Yes
No
Does the applicant have an Individual Education Plan (IEP) or 504 Support Plan?
Yes
No
Has the applicant ever received any supplemental education services, public or private?
Yes
No
Has the applicant ever received severe disciplinary action at school (resulting in suspension or expulsion)?
Yes
No
As a way of sharing good things that happen at ICS, we intend to submit press releases and photographs to local newspapers and post to the ICS social media sites. Please choose one option from the list below.
Thank you for your cooperation and we look forward to many "photo opportunities" and many good things to share!
My child(ren)
May be photographed with name
May be photographed without name
May not be photographed
Please Note: This does not include school functions, performances, and events. If you (parent/guardian) wish for your child not to be included in these group photos/videos you (parent/guardian) are responsible for removing your child from participating.
Tuition Payment Preference
Option #1: Full Payment by Check on/before August 1, 2019
Option #2 - Via FACTS: 2 Payments due Aug 2019 & Feb 2020
Option #3 - Via FACTS: 10 Payments Aug 2019 - May 2020
Does your family intend to participate in the ICS Scrip Program?
Yes
No, we will pay the buyout amount.
N/A, We are a preschool only family
Does your family intend to participate in the ICS Service Hour Program?
Yes
No, we will pay the buyout amount.
N/A, We are a preschool only family
Number of Parents/Guardians
REQUIRED
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Parent/Guardian 1
First Name
REQUIRED
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Last Name
REQUIRED
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Email
REQUIRED
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Please enter an email address.
Cell Phone Number
REQUIRED
Maximum 20 characters
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Please enter a phone number.
Home Phone Number
REQUIRED
Maximum 20 characters
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Please enter a phone number.
Home Phone Number
REQUIRED
Maximum 20 characters
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Please enter a phone number.
Work Phone Number
REQUIRED
Maximum 20 characters
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Occupation
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Street Address
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City
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State
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Zip
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Please enter a zip code.
Do you wish to be listed in the School Directory
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No
Parent/Guardian 2
First Name
REQUIRED
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Last Name
REQUIRED
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Email
REQUIRED
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Please enter an email address.
Cell Phone Number
REQUIRED
Maximum 20 characters
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Please enter a phone number.
Home Phone Number
REQUIRED
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Please enter a phone number.
Home Phone Number
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Work Phone Number
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Occupation
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Street Address
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City
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State
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Zip
REQUIRED
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Please enter a zip code.
Do you wish to be listed in the School Directory
Yes
No
Parent/Guardian 3
First Name
REQUIRED
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Last Name
REQUIRED
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Email
REQUIRED
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Please enter an email address.
Cell Phone Number
REQUIRED
Maximum 20 characters
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Home Phone Number
REQUIRED
Maximum 20 characters
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Please enter a phone number.
Home Phone Number
REQUIRED
Maximum 20 characters
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Please enter a phone number.
Work Phone Number
REQUIRED
Maximum 20 characters
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Occupation
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Street Address
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City
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State
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AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
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SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
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Zip
REQUIRED
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Please enter a zip code.
Do you wish to be listed in the School Directory
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No
Parent/Guardian 4
First Name
REQUIRED
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Last Name
REQUIRED
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Email
REQUIRED
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Please enter an email address.
Cell Phone Number
REQUIRED
Maximum 20 characters
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Please enter a phone number.
Home Phone Number
REQUIRED
Maximum 20 characters
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Please enter a phone number.
Home Phone Number
REQUIRED
Maximum 20 characters
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Please enter a phone number.
Work Phone Number
REQUIRED
Maximum 20 characters
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Please enter a phone number.
Occupation
REQUIRED
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Street Address
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City
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State
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AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
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TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
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Zip
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Please enter a zip code.
Do you wish to be listed in the School Directory
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Parental Information
Marital Status
REQUIRED
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Married
Remarried
Separated
Divorced
Deceased Spouse
Never Married
Legal Guardian
Other
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Student resides with
REQUIRED
(Select One)
Both Mother and Father
Mother
Father
Legal Guardian
Other
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Custodial Parent/Guardian (if applicable)
None
None
Joint
Mother
Father
Legal Guardian
Other
Religious Preference
REQUIRED
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Registered Parish
REQUIRED
(Select One)
Immaculate Conception Church - Annandale
Our Lady of Lourdes - White House
Our Lady of the Mountain - Long Valley
Our Lady of Victories - Frenchtown
St. Ann's - Hampton
St. Catherine of Siena - Pittstown
St. Edward the Confessor - Milford
St. Elizabeth Ann Seton - Three Bridges
St. John Newmann - Califon
St. Joseph's - Washington
St. Joseph's - High Bridge
St. Magdalen de Pazzi - Flemington
St. Mary's - Alpha
St. Mary's - Hackettstown
St. Theodore - Port Murray
Other - Catholic
None - Non Catholic
Please fill out this field.
If you answered Other, please include the name and city of your registered Parish
Please enter valid data.
Will your family pursue Tuition Assistance from the Diocese and/or Immaculate Conception School?
Yes
No
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