Student Registration Form

Mother's Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Maiden Name REQUIRED Please fill out this field. Please enter valid data.

Father's Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Mailing address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Primary Phone Number REQUIRED

Please provide your primary phone number. But, be sure to let us know if there is a different phone number to reach you during class hours.

Please fill out this field. Please enter a phone number.

Alternate Phone Number Please enter a phone number.

Preferred contact method? Email Text message (SMS) Phone call

St. Thomas More - St. Mary