SSL Certificate

APPLICATION FOR ADMISSION:

Please complete and submit the $100 (non-refundable) fee by credit card. 

if applicable​
Required for KEES Scholarship Program and KHSAA​​
If your city is not listed, please select "other"​​​​
Please use this format: 502-555-5555​
Please use this format: 502-555-5555​
For reporting purposes only​​​​
Please add your place of worship​​

If student does not live with one or both parents, please fill in the appropriate areas below:

Please provide first name, last name and suffix if applicable.​​​​
Please use this format: 502-555-5555​​
Please use this format: 502-555-5555​​
Please provide first and last name​​​​
Please use this format: 502-555-5555​​​
Please use this format: 502-555-5555​​​
Please provide first and last name​​
Please use this format: 502-555-5555​
Please use this format: 502-555-5555​
Please provide first name, last name, and suffix if applicable​​
Please use this format: 502-555-5555​​
Please use this format: 502-555-5555​​





i.e. mother, father, grandparent​​

IMPORTANT NOTE: Emergency contact information is necessary in case parents can not be reached.  If any of this information changes at any time, please notify St. X immediately.

Please use this format: 502-555-5555​
Please use this format: 502-555-5555​

Please use this format: 502-555-5555​
Please use this format: 502-555-5555​

The following information is necessary so that your son's grandparents receive an invitation to attend our annual Freshman Grandparents' Day event with your son in September. 

Please use this format: 502-555-5555​

Please use this format: 502-555-5555​

Please use this format: 502-555-5555​

Please use this format: 502-555-5555​

We/I understand that, as a private Catholic school, Saint Xavier is extending privilege of its formational and educational programs to our/my son/ward.  We/I understand and our/my son/ward understands that, prior to the first day of classes, we/I will receive a Parent Handbook and that our/my son/ward will receive a similar Student Handbook, each outlining the philosophy, values, codes and regulations expected of all students at Saint Xavier High School.  We/I and our/my son/ward understand that we/I and our/my son/ward will be required to sign the Student/Parent Handbook Agreement form verifying that we/I and our/my son/ward have read and agree to be governed by all rules and policies as specified in the Student/Parent Handbook.  We/I further understand that, as a part of the enrollment porcess, we/I will be expected to complete and sign an Enrollment Agreement for our/my son/ward in consideration of his enrollment as a student at Saint Xavier High School and that by doing so, we/I agree to abide by all of the stipulations and requirements contained in the Enrollment Agreement, including penalties for failure to abide by all of the stipulations and requirements contained in the Enrollment Agreement.

A non-refundable $100 registration fee must be submitted with each application.


Please provide an email address where we can send a link to your current form.

Email Address :

SAINT XAVIER HIGH SCHOOL
Louisville Boys Private Catholic High School

1609 Poplar Level Road | Louisville, KY 40217-1359
P 502 637 4712 | F 502 634 2171 |
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A Xaverian Brothers Sponsored School

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