ST. VIATOR ELEMENTARY SCHOOL

4140 West Addison Street
Chicago, Illinois 60641
phone: 773.545.2173
fax: 773.794.1697

Grade in which your child would be enrolled

If you have more than one child, please enter the grade of the YOUNGER (or youngest) one.

Parent's Name

First Name

Last Name

Child's Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone

(###)

###

####

Additional Info

Please use this field for any specific topics you'd like us to address during your tour.

ALREADY TOURED AND READY TO REGISTER?