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2019-2020 Religious Education Registration Form
Email address *
Last Name *
Your answer
Father's Name *
Your answer
Mother's Name *
Your answer
Home Address: Street *
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Home Address: City *
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Home Address: Zip *
Your answer
Contact Information: Home Phone
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Contact Information: Cell Phone
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Contact Information: E-mail Address
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Children Reside with: *
Parish Registered At: *
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School District *
Your answer
Emergency Contact Person: Name (First and Last) *
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Emergency Contact Person: Phone Number *
Your answer
Father's Religion *
Your answer
Mother's Religion *
Your answer
Religious Education Session Preference *
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