Student First Name*
Student's Last Name*
Student's Current School*
Student's Current Grade Level*
Parent's First Name*
Please provide the first name of at least one of the student's parents.
Parent's Last Name*
Please provide the last name for the parent(s) listed above.
Parent's Email Address*
Please provide a contact email for at least one of the student's parents.
Parent's Phone Number*
City, State, Zip Code*
Areas of Interest
What are the student's areas of interest, such as specific classes, activities or sports?
When would the student like to be a Crusader For The Day?*
If you have flexible dates for Crusader For The Day, please let us know here. You may also add any other additional information you'd like to tell us here.
I would like to receive text notification messages from the Canisius High School office of admission. You can reply STOP to cancel, HELP for help. Msg&data rates may apply.
Or, check this box if cell phone is the same as the phone number you previously entered
Same as above
Please send a confirmation email to the address below: