Registration Form

Student Information

First Name:
Last Name:
Date of Birth:
ex. 01/20/2001
Gender:
Male
Female
Address 1:
Address 2:
City:
State:
ZIP:
Home Phone:

Parent Information

Work Phone (Father):
Work Phone (Mother):
Parent Email:

Student Demographics

Parish of Student:
First Choice School:
Bishop Ahr
Immaculata
Second Choice School:
Bishop Ahr
Immaculata
Does the student have a sibling or parent that attended Bishop Ahr?
Yes
No
The student has/will take an Entrance Examination for another Catholic high school:
Yes
No
If yes, where:


Security Measure