English First Communion Year One Registration
English First Communion Year I
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Email *
Student's Name: *
Address: *
Birth City  State: *
Date of Birth: *
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Age: *
Parish of Baptism: *
Date of Baptism: *
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DD
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YYYY
School: *
Grade: *
Student Father's Name: *
Is Student's Father Catholic? *
Is Student's Father Married? *
Father's phone number: *
Father's email: *
Student Mother's Name: *
Is Student's Mother Catholic? *
Is Student's Mother Married? *
Mother's Phone Number: *
Mother's Email: *
Person to call in case of emergency, their relationship to student, and their phone number: *
In case of emergency, may your child receive minor first aid while in catechism: *
If you do not want student to receive first aid, please explain why: *
Does your student have any condition or allergies that we should know? *
How would you like to pay your student's $200 religious ed. registration fee? *
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