Church School Registration

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Fill out the information for each child separately.

If you have more than 3 children, please call the Parish Office rather than filling out this form, 221-5351. Be as thorough as possible with all information, especially cell phone numbers and allergies.  You must click the submit button below for this form to be processed. 

 

First Child's name
Age
Gender
Birth date
'11-'12 Grade in School
Name of School
Child's e-mail if any
Food Allergies
Second Child's Name
Age
Gender
Birth date
'11-'12 Grade in School
Name of School
Child's e-mail if any
Food Allergies
Third Child's Name
Age
Gender
Birth date
'11-'12 Grade in School
Name of School
Child's e-mail if any
Food Allergies
Parent/Parents' Name(s) & Address
Home Phone
Mother's Cell
Father's Cell
(Please accept apologies if these labels do not apply to your family, and please fill in corrections in the comment section below.)
Primary e-mail address
Comments