FLC Faith Formation Registration 19/20
Contact Information for Children Ages 2 through 12th Grade
Email address *
Parent #1 Name (Main Contact) *
Your answer
Parent #2 Name
Your answer
Parent #1 Email Address (Main Contact) *
Your answer
Parent #2 Email Address
Your answer
Parent #1 Phone Number (Main Contact) *
Your answer
Parent #2 Phone Number
Your answer
Child #1 Name
Your answer
Child #1 Class Registration
Child #1 Date of Birth
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DD
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YYYY
Child #1 Baptism Date (If Known)
MM
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DD
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YYYY
Child #1 Phone Number
Your answer
Child #1 Mailing Address
Your answer
Child #1 Email Address
Your answer
Allergies:
Your answer
Child #2 Name
Your answer
Child #2 Class Registration
Child #2 Date of Birth
MM
/
DD
/
YYYY
Child #2 Baptism Date (If Known)
MM
/
DD
/
YYYY
Child #2 Phone Number
Your answer
Child #2 Mailing Address
Your answer
Child #2 Email Address
Your answer
Allergies:
Your answer
Child #3 Name
Your answer
Child #3 Class Registration
Child #3 Date of Birth
MM
/
DD
/
YYYY
Child #3 Baptism Date (If Known)
MM
/
DD
/
YYYY
Child #3 Phone Number
Your answer
Child #3 Mailing Address
Your answer
Child #3 Email Address
Your answer
Allergies:
Your answer
Child #4 Name
Your answer
Child #4 Class Registration
Child #4 Date of Birth
MM
/
DD
/
YYYY
Child #4 Baptism Date (If Known)
MM
/
DD
/
YYYY
Child #4 Phone Number
Your answer
Child #4 Mailing Address
Your answer
Child #4 Email Address
Your answer
Allergies:
Your answer
Can we contact you for help teaching? *
We can contact you regarding scheduling and events the following ways: *
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Preferred Contact: *
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