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Colm Cille Club Membership Application
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Email *
Family Name *
Children's Names *
Mother's First and Last Name
Mother's primary phone
Mother's email address
Home Address
Mother's occupation
Father's first and last name
Father's email address
Father's primary phone
Father's occupation
Parish name and town
How did you hear about Colm Cille Club?
Who will be with your children on co-op days?
Who will be responsible for teaching the CCC curriculum at home?
How would you like to contribute on co-op day?  Check all that might apply.
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