REGISTRATION
STUDENT(S) *
Please enter FULL name and Grade (current school year)
Your answer
PARENT/GUARDIAN NAME *
Your answer
HOME ADDRESS *
Your answer
HOME PHONE NUMBER *
Your answer
PARENT/GUARDIAN CELL PHONE NUMBER
Your answer
ARE YOU A MEMBER OF ASSUMPTION PARISH? *
EMAIL ADDRESS
Your answer
ALLERGIES/MEDICAL NOTES
Please include any special notes that the teachers should be aware of.
Your answer
EMERGENCY CONTACTS *
Please include names and phone numbers for any emergency contacts.
Your answer
Would you like to volunteer to help with the program? *
You will be contacted by Mr. Ferriero if you are interested in helping.
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