Confirmation Registration
Registration for both Year 1 & 2
Does your family have a device with internet connection to enable participation in online Zoom classes?
Clear selection
Student Name: *
Date of Birth: *
MM
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DD
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YYYY
Preferred method of contact: *
Required
Do you give permission to St. Rose of Lima Religious Education to have your child's email and cell phone number? Please provide below. *
Student Cell Number:
Student Email:
Year of Preparation: *
Grade: (entering this year) *
Gender: *
Do you have the following documents for your child? They will need to be provided to the Religious Education office or St. Rose of Lima rectory. *
Required
Allergies/medical conditions we should be aware of: *
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