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Adopt a Student Application

- About

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- Student's Full Name REQUIRED Please fill out this field. Please enter valid data.
- Student's Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Catholic School Attending in the Fall REQUIRED Please fill out this field. Please enter valid data.
- Parent Name REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Registered Parish REQUIRED Please fill out this field. Please enter valid data.
- Before we can grant any requests, we will need a copy of the financial award statement from your Catholic school. If you have any questions, please call the office at (585) 271-7240.
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