Good Shepherd Parish Religious Education Registration 2017-18
Family Name *
Your answer
Family Email Primary *
Your answer
Family Email Secondary (if desired)
Your answer
Phone #
Your answer
Child 1's Name *
Your answer
Child 1 Goes by (Nickname)
Your answer
Grade for fall 2017
Your answer
Child 2's Name
Your answer
Child 2 Goes by (Nickname)
Your answer
Grade for fall 2017
Your answer
Child 3's Name
Your answer
Child 3 Goes by (Nickname)
Your answer
Grade for fall 2017
Your answer
Additional Information to Help Us Support Your Children
E.g., Allergies, Learning Accommodations, etc.
Your answer
Religious Education Meeting Times Preference *
Required
Has any of your family's contact information changed or are you new to our program? *
E.g., Address, Email Address, Phone Number, Emergency Contact, Family Structure, etc.
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