Online Inquiry

Your Name:   E-mail Address:  
 
Daytime Phone:   Evening Phone:   
 
Address:   City:                   
 
State:   ZIP:                    
 
Your relation to student:    
 
Mother's Name:   Father's Name:    
 
Child 1 Name:    Birthdate:     Grade: 
 
Child 2 Name:    Birthdate:     Grade: 
 
Child 3 Name:    Birthdate:     Grade: 
 
Please tell me about: PreSchool, (Children 3 years old before Sept 30 of the upcoming school year)
Pre-K Program (Children 4 years old before Sept 30 of the upcoming school year)
Kindergarten Program (Children 5 years old before Sept 30 of upcoming the school year)
Extended Day Kindergarten
After School Care
 
What would you most like to know about Bishop Leibold?     Religious Education Academic Programs
(Check all that apply)     Discipline Standardized Test Results
    Transportation Becoming a member of the Parish
    Financial Assistance Facilities
    Extracurricular Activities Other
 
 
 
Learn more about BLS     Please send me BLS information via US mail. Please call me to schedule a tour / visit
 
    Please provide an Ambassador who is a good
match for me, based on the information I furnished
on this form. (Our Ambassadors are current
parents who speak to prospective parents and
answer your questions now, and down the road.)
 
 
Are you interested in learning more about becoming a member of:     Our Lady of Good Hope Parish (Miamisburg) St. Henry Parish (Miami Township)
 
 
Questions or Comments?    
 


    

West Campus: Preschool - 3rd  24 S. 3rd St. Miamisburg, OH 45342 (937) 866-3021

East Campus: 4th - 8th  6666 Springboro Pike Dayton, OH 45449 (937) 434-9343