Name (First & Last)            

Street Address                   

City                                         

State                                          

Zip Code                            

Phone Number                  

E-mail Address                  

Current School                  

Current Grade                   

Did your father or grandfather graduate from St. Rita or Mendel (if yes you are eligible for a $1,000 Legacy Scholarship starting Fall 2009)?  
Yes  --  Name of father or grandfather  

No

Activities in which I am interested (check all that apply):
Honors Program  Football    Baseball    Golf    Hockey  Soccer  

Rugby   Volleyball   Waterpolo Lacrosse Track  Basketball 

Band   Theater   Computers  Yearbook  Wrestling   Bowling  

Cross Country  Swimming  Newspaper   Campus Ministry   Scholastic Bowl
 

Thank you for taking time to fill this out to learn more about the St. Rita family.