Young Disciples Registration Form
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Family Name *
Parent 1 Name *
Cell phone Number *
Email Address
Parent 2
Cell phone number
Home Address
City
State
Zip Code
It is very important that your child(ren) be present every week for class. Would you like us to arrange a ride for them? *
Child's Name
Grade in School
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Which sacraments has he/she received?
Do you have another child to enroll? *
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