Catholic Student Ministry
St. Dominic and St. John the Evangelist in Panama CIty, FL
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Student’s name (for multiple children in 6th-12th, please fill out a separate form.  Thank you!) Nombre del estudiante. *
Student’s grade/Grado del estudiante? *
My child needs the Sacrament(s) of/Mi hijo necesita el sacramento(s) de: *
Parent Name(s)/Nombre de los padres: *
Parent Email (you check regularly)/Correo electrónico de los padres (lo revisa con regularidad): *
Parent Cell phone (for weekly communication)/Teléfono celular de los padres (para comunicación semanal): *
Other parent or adult name and cell phone (in case of emergency)/Nombre y teléfono celular de otro padre o adulto (en caso de emergencia): *
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