Children's Registration Form
This is the Registration Form for the 2018-2019 School Year. For more information about Children's programs at St. Teresa's, contact Meg Jones (meg@stteresasacworth.com)
Name
Your answer
Gender
Age
Your answer
Grade for 2018-2019 School Year
Home Address
Your answer
Home Phone
Your answer
Parent's Name (s)
Your answer
Home Address (if different)
Your answer
Parent Cell Phone (s)
Your answer
Parent Email
Your answer
Sibling (s) & Ages
Your answer
Any food allergies?
Your answer
Any medical info?
Your answer
People over the age of 16 authorized to pick up your child
Your answer
Permission for Photographing your child
We like to take pictures at St. Teresa's to use on our website, in our newsletters, or on our bulletin boards. We won't give any specific information about your child. We will never sell these pictures, and we'll only use them at St. Teresa's.
Submit
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