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St. James CCD Registration (PK-8th Gr.)
Please complete this form and submit it by September 1, 2017.
Classes start on September 10, 2017 at 10:15 am. All students meet with their classes at the cafeteria then proceed to their assigned classrooms. Dismissal is at 11:15 am.
Email address
Family Last Name
Your answer
Name of Student
(List down all the names of your children who will be attending CCD if there's more than one.)
Your answer
Address / Zip Code
Your answer
Email Address
Your answer
Contact #
Your answer
Are you a registered member of St. James Catholic Church?
Father's Information
Father's Full Name
Your answer
Father's Religion
Father's Work #
Your answer
Mother's Information
Mother's First & Maiden Name
Your answer
Mother's Religion
Mother's Work #
Your answer
Parental Status
If mother is re-married, what is her last name?
Your answer
Step-Parent or Guardian
Your answer
Contact Information
Emergency Contact Person
Your answer
Phone #
Your answer
What is the preferred method for communicating with the religious education staff?
To whom should it be addressed?
Your answer
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