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Holy Name School Extracurricular Offerings Fall 2017
Please register for courses on this list through Holy Name's Extracurricular Registration Form. All families will be billed through their FACTS accounts in September.
Email address *
Name of Child *
Your answer
Grade of Child *
Your answer
Select classes *
Guardian of Child who is completing this form *
Your answer
Parent Contact # *
Your answer
Parent Email *
Your answer
I certify that I am aware that my FACTS account will be charged the total of the classes above that I have signed up for. I understand that there will be no refunds if my child changes his or her mind after starting the class. *
Photo Authorization Consent: I hereby give my permission for photographs of the student and work of the student to be displayed and used by the outside organization who is leading the activity through their publications, promotional materials, newspapers, website and other media. I understand that photographic images of the student may be cropped or otherwise modified for purposes related to the company's marketing needs. Names of students will not be used without the express written permission of the parent or guardian. *
Dismissal Instructions *
A copy of your responses will be emailed to the address you provided.
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