St. Anselm CYO - FALL 2021 Sports Interest Form
In anticipation of the Archdiocese of Philadelphia allowing CYO sports in the Fall, we are looking to gauge interest in Fall sports. Any questions, please contact: AD@stanselmparish.com
Child's Name *
Grade (2021-22 School Year) *
If your child does not attend St. Anselm, what school do they attend?
If a CCD student, which Parish does your child attend CCD?
Child's Date of Birth *
MM
/
DD
/
YYYY
Home Address *
Phone Number *
Is this Phone Number? *
Can text messages be sent if it is a Cell Phone? *
Parental Contact *
Parental Contact Phone Number (**if different from above)
Parental Contact Email Address *
Fall Sports (**check all that apply) *
Required
Does your child have any medical conditions that we should be aware of?
T-Shirt Size *
Are you interested in coaching? *
If interested in coaching, please include name, phone number and email address below.
Submit
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