2019 - 2020 Faith Formation - One Per Student
STUDENT REGISTRATION FORM
Name of Student *
Age *
Grade Level *
Date of Birth *
MM
/
DD
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YYYY
Gender *
Address *
Home Phone *
Cell Phone
Parent Email *
Notification Preference *
Mother's Name *
Address and Phone Number (if different than above)
Father's Name *
Address and Phone Number (if different than above)
Date of Baptism *
MM
/
DD
/
YYYY
Place of Baptism (Parish Name, City & State) *
Sacraments Received *
Required
Alternate Contact & Telephone in Case of Emergency:
Name *
Phone Number *
Additional Information (Please include any allergies)
Submit
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