High School Hillyard Technical Center Registration 2021-2022 (accepted students only)
Student's Legal First Name *
Student's Legal Middle Name *
Student's Legal Last Name *
Preferred name (if applicable)
Who is completing this registration form? *
Has this student ever been enrolled in the Saint Joseph School District? *
Grade: *
Birthdate *
MM
/
DD
/
YYYY
Gender *
High School: *
Student Cell Phone Number:
Student Email Address
Hillyard Program: *
Is your class scheduled for the morning or afternoon? *
T-Shirt size *
Daytime Telephone Number (used to verify attendance) *
Parent/Guardian Email (used to verify attendance). Enter N/A if you do not have an e-mail address. *
Home Street Address: *
City *
State *
Zip Code *
Is your mailing address the same as your home address? *
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