**The tuition contract, volunteer and emergency forms all need to be downloaded and turned in to the Business Office because they must be signed.**

(You will be re-directed to the rest of the required forms when you select SUBMIT.)

STUDENT INFORMATION

Student's Legal Name
(Last, First, Middle)

Prefers to be called
(optional)

Female

Male

Gender

9th 10th

11th 12th

Grade in Fall

The registration information that I submitted last year has*

CHANGED

NOT CHANGED

The information below does not have to be filled out if nothing has changed. If nothing has changed, please check the "NOT CHANGED' box and then submit your form.

If limited information has changed, please fill in the fields that have changed since 2009 registration. Thank you!

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Street Address:

City

State*

Zipcode

Enter Birthdate (yy/mm/dd)

Student Social Security Number

Ethnic Origin

African American Hispanic Native American

Asian-Pacific Islander White Other

Student's cell phone

Student's Email Address

Religious Affiliation

Parish Registered

Do you have siblings that attend SMHS?

Yes

No

Names of siblings:

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PARENT INFORMATION

FATHER STEPFATHER

GUARDIAN GRANDFATHER

MOTHER STEPMOTHER

GUARDIAN GRANDMOTHER

Lives with

NAME

NAME

Home Phone

Home Phone

Cell Phone

Cell Phone

Street Address-if different than student

Street Address-if different than student

City

City

State

State

Zipcode

Zipcode

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Email Address

Email Address

Place of Employment

Place of Employment

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Name and Number of person to be contacted during the school day: