Early Childhood Registration Form 2019-2020
Early Childhood (E.C.) takes place DURING the 9:15am mass. Fees for Early Childhood are: $40 for the first child, $20 each additional EC child. Payment options are listed in the last question on this form. Questions? Contact Bridget Bockey, Coordinator of Religious Education, at bbockey@delphosstjohns.org or 419-233-1600
Email address *
Father's/Guardian's First & Last Name *
Your answer
Father/Guardian's Religion *
Your answer
Registered parishoner at Delphos, St. John? *
Mother's/Guardian's First & Last Name *
Your answer
Mother's/Guardian's Religion *
Your answer
Mother's Maiden Name
Your answer
Registered parishoner at Delphos, St. John? *
Street Address *
Your answer
City/State/Zip *
Your answer
Primary Phone # *
Your answer
Email address *
Your answer
Status of Parents *
Child(ren) lives with *
I would like to volunteer for:
Preferred Method of Communication *
Media Consent: Delphos St. John Parish asks for your permission to utilize photographs, videos and related materials of your child(ren) for use on St. John's and/or the Diocesan website and social media. *
Emergency Contact #1 Name and Phone *
Your answer
Emergency Contact #2 Name and Phone *
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Delphos St. John. Report Abuse - Terms of Service