TAA RELIGIOUS SCHOOL 2019 - 2020 REGISTRATION FORM

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Email address *

FAMILY INFORMATION

Please complete for each parent/guardian.

PARENT / GUARDIAN 1 NAME

First Name *

Last Name *

Parent / Guardian 1 Main Phone *

Parent / Guardian 1 Alternate Phone

Parent / Guardian 1 Address (Street) *

Parent / Guardian 1 Address (City) *

Parent / Guardian 1 Address (State) *

Parent / Guardian 1 Address (Zip Code) *

Parent / Guardian 1 Occupation

Parent / Guardian 1 Preferred Email for School Correspondence

PARENT / GUARDIAN 2 NAME

First Name

Last Name

Parent / Guardian 2 Main Phone *

Parent / Guardian 2 Alternate Phone

Parent / Guardian 2 Address if different than Parent / Guardian 1

Parent / Guardian 2 Address (Street)

Parent / Guardian 2 Address (City)

Parent / Guardian 2 Address (State)

Parent / Guardian 2 Address (Zip Code)

Parent / Guardian 2 Preferred Email for School Correspondence

Parent / Guardian 2 Occupation

If parents are separated or divorced, please indicate child custody arrangments and any restrictions of which TAA Religious School should be aware:

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