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  • Child's information

  • Child's first name REQUIRED Please fill out this field. Please enter valid data.
  • Child's last name Please enter valid data.
  • Child's date of birth (ex. January 3, 2010) Please enter valid data.
  • Gender Please enter valid data.
  • Grade of child fall of 2019 Please enter valid data.
  • Sacraments your child has already received Baptism Reconciliation First Communion Confirmation
  • Where were these sacraments received?
  • Does your child have any allergies, special needs, or considerations? If yes, please list them. Please enter valid data.

  • Parent / Guardian(s) Information

  • Names Please enter valid data.
  • Email Please enter valid data.
  • Text number Please enter valid data.
  • Home phone Please enter valid data.
  • Other phone Please enter valid data.
  • Street address Please enter valid data.
  • City Please enter valid data.
  • Alternate emergency contact person Please enter valid data.
  • Alternate emergency contact phone number Please enter valid data.
  • Relation of emergency contact to child Please enter valid data.
  • Do you have a Facebook account? Yes No
  • Facebook name (for use in adding you to classroom groups) Please enter valid data.

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