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.
Please send a confirmation email to the address below: