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Registration for Mercy Academy's Placement Test

Required

Student's Namerequired
First Name
Preferred Name (optional)
Middle
Last Name
Must contain a date in M/D/YYYY format
Do you have a diagnosed learning difference?

 

Primary Contact's Namerequired
First Name
Last Name
Secondary Contact's Namerequired
First Name
Last Name
Parents Marital Status
Did your mother attend Mercy?
Mother's Information
First Name
Maiden Name
Graduation Year
Do you have a sister attending Mercy now?
Sister's Name
First Name
Last Name
Graduation Year
Have you had a sister previously attend Mercy?
Sister's Name
First Name
Last Name
Graduation Year
Do you have any other relatives who graduated from Mercy?

 

Do you plan to utilize Mercy's bus service?

 

Where do you plan to attend high school?