Registration for New Students

The New Student Registration form should be completed only by students who have been accepted to Jesuit High School. Registration is completed by completing the form below and paying the one-time Registration Fee on the First Bank and Trust portal.

Registration for New Students

Name of New Blue Jay*
First Middle Last
Use legal first name in space provided (no nicknames).
Address*
Street Address City State ZIP Code
Phone*
Current School*
Current Grade*
Date of Birth*
Date Format: MM slash DD slash YYYY
City and State of Birth*
City State
Social Security Number*
Religion*
Religion (Other)*
Church Parish
Parent/Guardian Information
Only fields marked with an * are required.
Primary Email for Parent/Guardian*
The student registering has how many parents or guardians?*
- 1
- 2
Parent/Guardian 1
Name*
Prefix First Last
Occupation*
Employer
Business Address
Street Address Address Line 2 City State ZIP Code
Business Phone
Parent/Guardian 2 Information
Name*
Prefix First Last
Occupation
Employer
Business Address
Street Address Address Line 2 City State ZIP Code
Business Phone

First Name	Last Name

Registration for New Students

Registration for New Students

Parent/Guardian Information

Parent/Guardian 1

Parent/Guardian 2 Information