GLC Faith Formation Registration 2019-2020
Please fill out one form per child/youth in Faith Formation.
Participant Name *
Your answer
Parent 1 Name *
Your answer
Parent 1 Cell *
Your answer
Parent 2 Name *
Your answer
Parent 2 Cell *
Your answer
Preferred Email *
Your answer
Emergency Contact and Relationship *
Your answer
Emergency Contact Phone Number *
Your answer
Participant Address 1 *
Your answer
Participant Address 2 (if needed)
Your answer
Birthday *
Your answer
Baptismal Date
MM
/
DD
/
YYYY
Dietary Restrictions? *
Your answer
Allergies? *
Your answer
Physical Limitations? *
Your answer
Age/Grade? (As of 9.1.19) *
Required
Program(s) Particpant Plans to Participate In *
Required
I would be interested in.... *
Required
Is there any other information you feel would be helpful for us as staff to better serve your youth or family? This information will remain confidential.
Your answer
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