Editing previous response:

Please fix the highlighted areas below before submitting.

SHA Request Information

Please make sure your internet browser is up to date, as outdated software can contribute to occasional glitches. Note: Internet Explorer will sometimes not support this form.

Want to know more about what it means to be a Valkyrie? We are happy to share school literature that outlines the SHA experience. To request an information packet, please complete the form below.

Name of Individual Completing Form*

Answer required for "Name of Individual Completing Form"

Student First Name

Answer required for "Student First Name"

Student Middle Name

Answer required for "Student Middle Name"

Student Last Name

Answer required for "Student Last Name"

Student Preferred Name

Answer required for "Student Preferred Name"

Student Birth Date (mm/dd/yyyy)

Answer required for "Student Birth Date (mm/dd/yyyy)"

Student Current School

Answer required for "Student Current School"

Current Grade

Answer required for "Current Grade"

Parent/Guardian Information

Prefix

Answer required for "Prefix"

Father's Last Name

Answer required for "Father's Last Name"

Father's First Name

Answer required for "Father's First Name"

Prefix

Answer required for "Prefix"

Mother's Last Name

Answer required for "Mother's Last Name"

Mother's First Name

Answer required for "Mother's First Name"

Street Address

Answer required for "Street Address"

City

Answer required for "City"

Zip/Postal

Answer required for "Zip/Postal"

Home Phone Number

Answer required for "Home Phone Number"

Mobile Number

Answer required for "Mobile Number"

Email Address*

Answer required for "Email Address"

Student's Interests

Answer required for "Student's Interests"

Questions

Answer required for "Questions"

Does the student have family members who attend/attended Sacred Heart Model School, Sacred Heart Preschool or Sacred Heart School for the Arts?

Answer required for "Does the student have family members who attend/attended Sacred Heart Model School, Sacred Heart Preschool or Sacred Heart School for the Arts?"

Yes

How did you hear about us?

Answer required for "How did you hear about us?"

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"