* Required

Please provide a contact phone number for at least one of the student's parents/guardians.​
Please provide a contact email for at least one of the student's parents/guardians.‚Äč​

After you click submit at the bottom of this form, you will be brought to a payment page to complete your registration.

If you have additional questions, please contact Tom Weislo in the Canisius admission office at weislo@canisiushigh.org.

If there is any additional information we should know about this student, please add it here.​