Student Information
Student Name (list one student per line if registering multiple) *
Your answer
Date of Birth (first student listed) *
MM
/
DD
/
YYYY
Date of Birth (second student listed)
MM
/
DD
/
YYYY
Date of Birth (third student listed)
MM
/
DD
/
YYYY
Student's Grade (list in above order if registering multiple students) *
Your answer
Student's School (list in above order if registering multiple students) *
Your answer
Do(es) your son(s)/daughter(s) attend a church or place of worship regularly? *
If yes, which church do they attend?
Your answer
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