Instructions
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Please fill out this registration form completely and accurately. |
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Choose a class based on your child's 2016-2017 school year.
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Keep in mind that class sizes are limited; therefore, your child's placement may change as classes fill.
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Student 1 |
Type |
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Title |
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*First Name |
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*Last Name |
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Suffix |
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Relationship |
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Middle Name |
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Ethnicity |
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*Birth Date |
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*Gender |
Female Male |
*Grade/Degree |
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Language |
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Sacraments |
Name |
Received |
Date |
Place |
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*Baptism |
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Confirmation |
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First Communion |
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Class Choices |
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*Class 1 |
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Student Remarks |
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*Emergency Contact |
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Health Issues |
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*Allergies |
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Other Conditions |
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*Family Option
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New Family Information
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Update Existing Family Information
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ID/Env: |
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Note: Just enter the field(s) that need to be updated.
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Head of Household |
Title |
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*First Name |
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*Last Name |
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Suffix |
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Relationship |
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Middle Name |
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Maiden Name |
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Ethnicity |
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Birth Date |
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*Gender |
Female Male |
Grade/Degree |
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Language |
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Marital Status |
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*Phone 1 |
( )
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Unlisted
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Phone 2 |
( )
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Unlisted
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Email 1 |
Unlisted
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Send Email Instead of Mail When Possible |
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Family Street Address |
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*Line 1 |
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Line 2 |
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*City |
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*State |
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*ZIP |
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Parish |
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Family Phone Numbers |
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*Primary |
( )
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Unlisted
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Other |
( )
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Unlisted
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Family Email Address |
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*Email |
Unlisted
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Send Email Instead of Mail When Possible |
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