Registration for New Students

2022 New Student Registration should be completed only by students who have been accepted to Jesuit High School. All new students should complete the following steps.

Fill out the Registration Form form below.
Print and follow the directions the following pages to be turned in to Jesuit:

Birth Certificate Form	Health Records	Uniform Information
Evidence of Legal Birth Form	Health Record Form	Uniform Information Sheet
To be turned into Admissions Office	To be turned into Admissions Office	For your own information

ROTC Information
Marine Corps Junior ROTC Information Sheet
For your own information

Registration Form

Name of New Blue Jay*
First Middle Last
Use legal first name in space provided (no nicknames).
Alternate Nametag Name
- A name other than my son's first name should appear on his nametag
Select this option to provide an alternate name (i.e., a nickname) to appear on your son's nametag instead of his legal first name. This would include, for example, using his middle name on his name tag instead of his first name.
Nametag Firstname*

The first name that should appear on your son's nametag. His nametag will reflect this name and his last name.
Address*
Street Address City State ZIP Code
Phone*
Current School*
Current Grade*
Date of Birth*
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
Registration Fee
Registration Fee*
Price:
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Billing Address*
Street Address Address Line 2 City State ZIP Code

Registration for New Students

Registration Form

Parent/Guardian Information

Parent/Guardian 1

Parent/Guardian 2 Information

Registration Fee