Church School Registration
2019-20 School Year
Student First Name *
Your answer
Student Last Name *
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Student Nickname
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Date of Birth *
MM
/
DD
/
YYYY
Gender *
Grade Level *
Parent Cell Phone (Primary) *
Your answer
Parent Cell Phone (Secondary)
Your answer
Father's Name
Your answer
Mother's Name
Your answer
Student's Primary Street Address *
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City *
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State *
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Zip *
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Parent Email (Primary) *
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Parent Email (Secondary)
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School Student Attends
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Baptized
Siblings (ages)
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Do we have permission to use photos of your child in CSMSG online and print publications? *
Please list any allergies or health issues that could affect your child in a classroom setting.
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First through fifth grade students are encouraged to participate in the Children's Eucharist. Please check any activities that interest your child:
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