Apply – Hillside Program

Welcome and thank you for your interest in the Hillside Program. Application to the Hillside Program 2022-2023 program year is now open to current members. If your family is currently not an active member of the Hillside Program for the 2021-2022 year and you are interested in joining for the 2022-2023 program year, please apply to the waiting list and you will be contacted shortly.

The Hillside Program acts in accordance with and is faithful to the Magisterium of the Catholic Church.

Waiting list application for 2022 – 2023 Hillside Program year.

The Hillside Program operates in faithful conformity to the Magisterium of the Catholic Church. *

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Parent Name *

First

Last

Parent Name (Optional)

First

Last

Home Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Emergency Contact Name *

Name of your emergency contact .

Emergency Phone *

Alternate number to call in an emergency

Email *

Number of children with you who are not applying (Example, infants, toddlers) *

The number of children you will have with you who are not in the program.

Number of children applying *

The number of children you are applying for enrollment.

First Student's Name *

First Student's Level *

Pre-K - Kindergarten (4-5 yr old's), Beginner Level (6-8 yr olds), Grammar (9-11 yr old's), Logic (12-14 yr old's), Rhetoric (15-18 yr old's)

Frist Student's Date of Birth *//

Special Needs *

Do any of your students or family members who attend Hillside have special needs that Hillside should be made aware? Example, allergies, developmental.

Does your student(s) have any outstanding subject requirements to complete? *

To help Hillside provide relevant classes for its members, do any of your students have outstanding subject requirements to complete? (This is not a guarantee of courses offered)

Parent Skills of Note

Please list any skills or talents that you would like to offer the Hillside community. Example, Literature, Logic, Chemistry, History, Art, Music, Chant, Athletics...

Comments or Questions

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