St. Mark's Student Registration 2022-23

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*Enter N/A for information fields that do not apply or will not be provided. For assistance call (513) 575-3354.

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電子郵件 *

Date of Application *

YYYY

Mother's First Name *

Mother's Last Name *

Mother's Phone Number *

Mother's email contact *

Mother's Occupation *

Father's First Name *

Father's Last Name *

Father's Phone Number *

Father's email contact *

Father's Occupation *

Student(s) resides with (check one) *

Both parents

Mother

Father

Shared Custody

Guardian

必填

Home Address *

Street Adress

City, State *

Zip *

Home Phone Number *

Home Address #2

Provide if shared custody

City, State #2

Provide if shared custody

Zip #2

Provide if shared custody

Home Phone Number #2

Provide if shared custody

Local Church Membership *

Home School District *

For example: Milford Exempted Village

District School Building *

For example: Mulberry Elementary

Do you plan to use Bus Transportation? *

Yes

Maybe

Number of Students to be Enrolled (below) *

Each Student Has a Section

One

Two

Three

Four

Five

必填

繼續

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