Parent addresses

Parents, please provide your contact information so that we may better communicate with you. If you have questions, do not hesitate to contact the student life office at parentinfo@bluffton.edu or 419-358-3247.


Student's first name:
Student's middle name:
Student's last name:
Student's birthdate (DD/MM/YYYY):
Parent's marital status:
Father's full name:
Father's birthdate (DD/MM/YYYY):
Father's address:
Father's City, State, Zip:
Father's e-mail:
Father's home phone:
Father's cell phone:
Mother's full name:
Mother's birthdate (DD/MM/YYYY):
Mother's address is the same as above:
If no, please provide mother's contact information
Mother's address:
Mother's city, state, zip:
Mother's e-mail:
Mother's home phone:
Mother's cell phone:
Step-father's full name (if applicable):
Step-mother's full name (if applicable):