Mercy High Registration

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* 1. Student(s) Information

Name

Currently Attends

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* 2. I am interested in registering a child for the following grades in the 2020 - 2021 school year.

9th

10th

11th

12th

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* 3. I am interested in having my child/ren attend Catholic high school in the following locations (please select all that apply).

Chico

Red Bluff

Redding

Yuba City

Other (please specify)

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* 4. Parent(s) Information

Parent/Guardian Name

Relationship to Student

Address

Address 2

City/Town

ZIP/Postal Code

Email Address

Phone Number