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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