Kindergarten Pre-Registration 20/21
Mother's First Name *
Your answer
Mother's Last Name *
Your answer
Mother's Phone *
Your answer
Mother's Email *
Your answer
Mother's Religion *
Your answer
Father's First Name *
Your answer
Father's Last Name *
Your answer
Father's Phone *
Your answer
Father's Email *
Your answer
Father's Religion *
Your answer
Married *
Who is legally responsible for child's education? *
Your answer
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Street Address *
Your answer
Child's City *
Your answer
Child's State *
Your answer
Child's Zip *
Your answer
Church of Child's Baptism *
Your answer
Date of Child's Baptism *
MM
/
DD
/
YYYY
Where does the family worship on the weekend? *
Your answer
If you are Catholic and not a member of Assumption, is it your intention to join the Parish? *
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