Christian Brothers High School

Student Information

Name

First

Middle

Last

Suffix

Preferred Name

Date of Birth

mm/dd/yyyy

Current Grade

Current School

List Other School

Interested in Grade

For the Fall of

Does a relative of the student currently attend or has one graduated from CBHS?

Yes No

Relative Name(s) and Graduation Year(s)

Student Interests

Tell us what your son is most excited to participate in at CBHS!

Athletics & Activities Interest 1

Athletics & Activities Interest 2

Athletics & Activities Interest 3

Parent/Guardian Information

Name

Title

First

Middle

Last

Suffix

Preferred Name

Relationship to Student

Cell Phone (xxx-xxx-xxxx)

Type

Number

Email

Primary Mailing Address

Will your family apply for financial aid?

Yes No

Out of curiosity...

How did you hear about CBHS?

Please specify