RE Registration '17-18
Registration form for Religious Education at St. Anthony's 2017-18
Family Information
Last Name *
Your answer
Street Address *
Your answer
City, State Zip *
Your answer
Primary Phone # *
Your answer
May we text alerts to this phone?
Alternate Phone # *
Your answer
May we text alerts to this phone?
Mother's First & Last Name:
Your answer
Father's First & Last Name:
Your answer
Primary Email Address *
Your answer
Secondary Email Address
Your answer
Emergency Contact
(must be different from anyone listed above)
Emergency Name (different from parents) *
Your answer
Relationship to child(ren) *
Your answer
Emergency Phone *
Your answer
Next
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