Marian Group Registration
Registration for the Marian Group program 2019/2020 School Year.
Registration is not complete until a "minor activity release form" is filled out.
Suggested $50 donation per child. Look for retreat fees information in the near future!
Child's Name (1st child) *
Your answer
Grade Level 1st child (Fall 2019) *
Your answer
Date of Birth (1st child) *
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Child's Name (2nd child) - Leave blank if N/A
Your answer
Grade Level 2nd child (Fall 2019) - Leave blank if N/A
Your answer
Date of Birth (2nd child) - Leave blank if N/A
MM
/
DD
/
YYYY
Child's Name (3rd child) - Leave blank if N/A
Your answer
Grade Level - 3rd child (Fall 2019) - Leave blank if N/A
Your answer
Date of Birth (3rd child) - Leave blank if N/A
MM
/
DD
/
YYYY
Child's Name (4th child) - Leave blank if N/A
Your answer
Grade Level 4th child (Fall 2019) - Leave blank if N/A
Your answer
Do any of the children have allergies? *
Your answer
Parents or Guardians' Name *
Your answer
Parents or Guardians' Phone Number *
Your answer
Email *
Your answer
Address *
Your answer
Holy Name Parishioner? *
Payment Options/ $50 suggested donation per child (Families with multiple children max $100)
Or Use Vanco link below:
Minor Activity & Release Form - PLEASE PRINT 1 PER CHILD & HAND-IN to HN OFFICE or Youth Director (Forms also available at the office)
Submit
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