St. Boniface School

4305 Pitts Avenue, Cincinnati, OH 45223
p. 513-541-5122
f. 513-541-3939

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School Registration Fee

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- Parent / Guardian 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.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- Street Address 2 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.
- Student Information
- Student REQUIRED Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Entering (K, 1, 2, 3, 4, 5, 6, 7, 8) REQUIRED Please fill out this field. Please enter valid data.
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Entering (K, 1, 2, 3, 4, 5, 6, 7, 8) REQUIRED Please fill out this field. Please enter valid data.
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Entering (K, 1, 2, 3, 4, 5, 6, 7, 8) REQUIRED Please fill out this field. Please enter valid data.
  
  Student 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Entering (K, 1, 2, 3, 4, 5, 6, 7, 8) REQUIRED Please fill out this field. Please enter valid data.
  
  Student 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter valid data.
  
  Grade Entering (K, 1, 2, 3, 4, 5, 6, 7, 8) REQUIRED Please fill out this field. Please enter valid data.
- School Registration Fee (per student up to $50 per family)25.0
- Number of Students Being Registered REQUIRED Maximum 2 characters Please fill out this field. Please enter an integer (number) from 1 to 2.
Total:

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