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.
Email *
Date of Application *
MM
/
DD
/
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) *
Required
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? *
Number of Students to be Enrolled (below) *
Each Student Has a Section
Required
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