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St. Joseph's REP Student Registration
2024-2025 REP Registration form
* Indicates required question
Email
*
Record my email address with my response
Family Name - Parent's name
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Your answer
Home Address - street address, city, zip code
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Your answer
Students in family -
Please include name, current age, birthdate, current grade for the 24-25 school year!
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Your answer
Phone numbers - Include home and/or cell #'s
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Your answer
Current Email - or other parent's email
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Your answer
Emergency Contact - This person will be contacted if we cannot contact parents.
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Your answer
Emergency info. - Allergies to any foods, insects or other important info. we may need to help your child/children? Please state None, if there are no issues...
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Your answer
Do you give St. Joseph's REP program to use photos/names of your student in our website and/or Facebook page
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Yes
No
Required
Do parents and all students agree with the guidelines and policies of our St. Joseph's REP Handbook?
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Yes
No
Where is your home parish?
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Your answer
Would you like your family to become members of St. Joseph's Catholic Church?
Your answer
Would you be interested in giving a donation to the REP program for the year 2024-2025? and/or help volunteer in some way? There are lots of great ways, big and small to help out! It doesn't have to be a lot... Thank you for your support!
Your answer
A copy of your responses will be emailed to .
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