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St. Mark's Student Registration 2020-21 [Form]
*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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* Indicates required question
Email
*
Your email
Date of Application
*
MM
/
DD
/
YYYY
Mother's First Name
*
Your answer
Mother's Last Name
*
Your answer
Mother's Phone Number
*
Your answer
Mother's email contact
*
Your answer
Mother's Occupation
*
Your answer
Father's First Name
*
Your answer
Father's Last Name
*
Your answer
Father's Phone Number
*
Your answer
Father's email contact
*
Your answer
Father's Occupation
*
Your answer
Student(s) resides with (check one)
*
Both parents
Mother
Father
Shared Custody
Guardian
Required
Home Address
*
Street Adress
Your answer
City, State
*
Your answer
Zip
*
Your answer
Home Phone Number
*
Your answer
Home Address #2
*
Provide if shared custody
Your answer
City, State #2
*
Provide if shared custody
Your answer
Zip #2
*
Provide if shared custody
Your answer
Home Phone Number #2
*
Provide if shared custody
Your answer
Local Church Membership
*
Your answer
Home School District
*
For example: Milford Exempted Village
Your answer
District School Building
*
For example: Mulberry Elementary
Your answer
Do you plan to use Bus Transportation?
*
Yes
No
Maybe
Number of Students to be Enrolled (below)
*
Each Student Has a Section
One
Two
Three
Four
Five
Required
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