Admissions at Dr. Barsil Miller Memorial High

Student Registration Form

Complete this form for both new and returning students.

Student Type New Student Returning Student

Student Full Name

Date of Birth

Gender Select Male Female

Grade Applying For

Previous School

Last Class Completed

Parent/Guardian Name

Parent/Guardian Phone

Parent/Guardian Email (optional)

Student Photo (JPG, PNG, WEBP up to 3MB)

Home Address

Submit Registration

Need Help?

Call Admissions Office: +231777986923 or +231775211966

Contact Admissions