GLC Faith Formation Registration 2017-18
Please fill out one form per child/youth in Faith Formation.
Participant Name
Your answer
Parent 1 Name
Your answer
Parent 1 Cell
Your answer
Parent 2 Name
Your answer
Parent 2 Cell
Your answer
Preferred Email
Your answer
Emergency Contact and Relationship
Your answer
Emergency Contact Phone Number
Your answer
Participant Address 1
Your answer
Participant Address 2 (if needed)
Your answer
Birthday
Your answer
Baptismal Date
MM
/
DD
/
YYYY
Dietary Restrictions?
Your answer
Allergies?
Your answer
Physical Limitations?
Your answer
Age/Grade?
Required
Program(s) Particpant Plans to Participate In
Required
I would be interested in....
Required
Is there any other information you feel would be helpful for us as staff to better serve your youth or family? This information will remain confidential.
Your answer
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