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Student Information

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Student's Name Old*
MM slash DD slash YYYY
If your school is not listed please enter the name here.

Primary Parent/Guardian Information

Primary Parent/Guardian One Name*
Primary Parent/Guardian One Address
Add Second Parent/Guardian Information*

Second Parent/Guardian Information

Second Parent/Guardian Name
Second Parent/Guardian Address*

Additional Family Members

Please enter additional family members' information to your children like Step-parents or Grandparents below.
Additional Family Members
Full Name
Relationship to Child
Email Address
 
How did you hear about St. Henry District High School (SHDHS)?