St. Anne Parish Catechism Registration Form
Email *
Child's Name *
Birth Date *
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DD
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School Grade
Mother/Guardian's Name
Mother/Guardian's phone number
Mother/Guardian's email 
Father/Guardian's Name
Father/Guardian's Phone Number
Father/Guardian's Email
Please list any medical conditions or medications your child has that we need to be aware of:
Please list any other adults authorized to pick up your child and call in case of an emergency.  Please note, only parents and people listed here will be able to pick up your child or be contacted in case of an emergency.  They must be 18 years or older.   *
Phone number for emergency contact *
Are there any restrictions, restraining orders, or dangerous persons we need to be aware of in order to guard your child?  If so, you need to provide a copy of the court order to catechism director.
Permission for Photographing your child *
From time to time we take pictures during Confirmation and parish life activities.  Only with your permission, we could use these pictures in our newsletter, on our bulletin board, in the Sunday bulletin, and in the People of God newsletter.  We will never reference your child by name or provide any specific information regarding your child.  We also will never sell these pictures.  We will use them exclusively for St. Anne Parish's purposes.  
Has your child been baptized? *
Has your child made his/her First Holy Communion *
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