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Request Information

Thank you for your interest in Melbourne Central Catholic High School.

Please fill out the form below and our Admissions Office will contact you and provide the requested information.

We look forward to speaking with you.

 

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Cell Phone *
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *
  • Home Phone *
  • How Did You Hear About Us? *
    Details:

  • I would like to schedule a visit.  

  • I am interested in attending Open House on Sunday, March 3rd  (please select a time to visit).
  •  
  • Student 1
  • First Name *
    Last Name *
  • Gender
  • Email Address
    Confirm Email Address
  • Grade Level of Interest *
    School Year *
  • Current School
    Other:

  • Please check any student interests.
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •