Register 3 children

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Register 3 children

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$340.00

$340.00

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Is your family new to St. Ignatius? Select all that apply Yes No

Family Last Name *

Address (Street, Town, Zip) *

Is this a new address? Select all that apply Yes No

email *

Parish Envelope #

Language Spoken at Home *

Has there been a change to the parental information? Select all that apply Yes No

Father/Guardian's Name (Last, First) *

Father's Home Phone *

Father's Office Phone

Father's Cell Phone

Father's Marital Status (choose 1) Select all that apply Married Divorced Separated Widowed Single

Mother/Guardian's Name (Last, First) *

Mother's Maiden Name

Mother's Home Phone *

Mother's Office Phone

Mother's Cell Phone

Mother's Marital Status (choose 1) Select all that apply Married Divorced Separated Widowed Single

Child 1 Name

Child 1 Date of Birth

Child 1 Sex Select all that apply Male Female

Child 1 School Attending

Child 1 Religious Ed Grade

Child 2 Name

Child 2 Date of Birth

Child 2 Sex Select all that apply Male Female

Child 2 School Attending

Child 2 Religious Ed Grade

Child 3 Name

Child 3 Date of Birth

Child 3 Sex Select all that apply Male Female

Child 3 School Attending

Child 3 Religious Ed Grade

If new to the program, is your child(ren) baptized?If yes, please indicate Date and Parish Name and provide the office with a copy of the Baptismal Certificate.

If new to the program, has your child(ren) received communion? If yes, please indicate Date and Parish Name and provide the office with a copy of the Communion Certificate.

Please list any special circumstances that could be helpful to us (allergies, special education, custody, restraining orders...)

Emergency local contacts in case parents/guardians can't be reached (Name, Address, Phone)

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Home
About Us
Bulletin
Upcoming Events
Eucharistic Revival
Photo Gallery
Weekend Readings & Parish Prayer Book
Religious Education with registration
- Religious Education
Adoration Chapel
Sacraments
Schedule
Ministries
Parish Prayer Book