Religious Education Registration 2018/19
Child's First Name *
Child's Last Name *
Parents'/ Guardian's Name(s) *
Email Address
Email be used to touch base about your child, RE news, events, and opportunities
Phone Number (best number we can reach you in case of emergency) *
a cell phone that you carry with you or number that you are most likely to answer
Alternate Phone Number(s) if above number can't be reached
Child's Grade in School
Preferred Pronoun
Child's Birth Date *
month/day/year
MM
/
DD
/
YYYY
Allergies or Medical Conditions *
Addition Support Needed/ Learning or Behavioral Needs
How often do you think your child is likely attend?
This helps us get a sense of class size and curriculum continuity.
just visiting
every week
Clear selection
Special Interests
What is your child passionate about?
What RE programming are you interested in for your child?
Check all that apply
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