• Holy Cross Family Learning Center

    Student Registration Form
  •  -
  • Privacy Policy and Statement of Confidentiality

    I understand that my information will be treated as confidential and used only for educational purposes.  It will be seen only by education staff members who are required to treat all student information as private. 

  • Clear
  •  -  -
    Pick a Date
  • Emergency Contact: Who can we call for you in case of emergency?

  •  -

  • Is there anyone you give us permission to communicate with about your education?  If so, please list them below.  This might be a case worker, child, counselor, or parent/guardian.  Note: If you are under 18, we can speak with your school and parent/guardian.  

  • Should be Empty: