Mercy High School Intent to Register
You are welcome to put more than one child on a single form. God bless!
Email address *
Child Name(s) *
Your answer
School(s) Currently Attending *
Your answer
I am intend to register my child(ren) for the following grades in the 2020 - 2021 school year. *
Parent Name(s) *
Your answer
Contact Phone Number *
Your answer
Intent to Register Fee
There is a refundable Intent to Register Fee of $100 per student, payable to Mercy High School (233 Riverside Way, Red Bluff, CA 96080.) Please write "2020-2021 Registration" in the memo line of your check (or add a note if you prefer to pay in cash.) A separate designated checking account will be used for Intent to Register payments.
I understand to finalize my Registration Intent I must remit payment in cash or check to Mercy High School in the amount of $100 per student. *
Never submit passwords through Google Forms.
This form was created inside of Saint Joseph Redding. Report Abuse