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Request Information

Thank you for your interest in Villa Madonna Academy!  To request information or to schedule a personal tour, please complete this form or contact Ms. Janet Baugh, Director of Admissions, at jbaugh@villamadonna.net or 859-331-6333 ext. 139.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • Last Name *
  • First Name *
  • Email Address *
  • Cell Phone *
    (Ex: 999-999-9999)
Home Address
  • Street Address *
  • City *
  • Country *
  • State *
  • Zip *
  • Home Phone
    (Ex: 999-999-9999)
  • How Did You Hear About Us? *
    Details:
  • How would you like to be contacted?

    *
  • Would you like to schedule a personal tour? 

    * Yes   No
  • Register for K-12 Open House Sunday, October 24, 1:00 - 3:00 P.M. 

  • Please add any questions or comments for the Director of Admissions.

  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Gender
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •