St. Bartholomew Catechetical Program Registration 2017-2018
Please complete this form for your family.
Parents' Name
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Address
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Parent Email
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Parent Phone Number
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Emergency Contact (Name and Phone Number)
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Child 1 Name
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Child 1 Grade
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Child 1 Sacraments Received
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Child 1 Medical Needs/Allergies
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Child 1 Learning Needs
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Child 2 Name
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Child 2 Grade
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Child 2 Sacraments Received
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Child 2 Medical Needs/Allergies
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Child 2 Learning Needs
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Child 3 Name
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Child 3 Grade
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Child 3 Sacraments Received
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Child 3 Medical Needs/Allergies
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Child 3 Learning Needs
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Child 4 Name
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Child 4 Grade
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Child 4 Sacraments Received
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Child 4 Medical Needs/Allergies
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Child 4 Learning Needs
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Child 5 Name
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Child 5 Grade
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Child 5 Sacraments Received
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Child 5 Medical Needs/Allergies
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Child 5 Learning Needs
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