St. Margaret's Children/Youth Registration 2018-19
Register your child today for the exciting programs offered for our children and youth for the 2017-18 program year. Please register each child separately.
Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's grade level *
Your answer
Child's Birthdate *
Your answer
School/Place of Education *
Your answer
Child's Cell Phone - if applicable
Your answer
Is your child baptized?
Is your child confirmed?
Please list any allergies your child has:
Your answer
Please list any special information about your child you want us to know:
Your answer
We often use images taken during program activities and share digitally and in printed materials (but without name identification). Please let us know if we have permission to share your child's image. *
Emergency Contact with phone number *
Your answer
Parent 1 - First Name *
Your answer
Parent 1 - Last Name *
Your answer
Address, City, State, Zip Code *
Your answer
Parent 1 Home Phone *
Your answer
Parent 1 Cell Phone *
Your answer
Parent 1 Email *
Your answer
Parent 2 First Name
Your answer
Parent 2 Last Name
Your answer
Parent 2 Address - (can put same)
Your answer
Parent 2 - (can put same)
Your answer
Parent 2 - Home phone
Your answer
Parent 2 - Cell phone
Your answer
Parent 2 - Email
Your answer
If middle or high school age, can we communicate with your child through texts?
Programs Your Child Will Participate in: *
Required
Parent Involvement - In order to provide quality programming, it is our expectation that parents are actively involved in the formation process. Please indicate what you wish to support with your time and talents for the program year: *
Required
A copy of your responses will be emailed to the address you provided.
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