Register 3 or more children

SKU:

$290.00

Unavailable

per item

Register 3 or more children. There is an additional $30 fee for each additional child past 3 children.

Family Last Name *

Address (Street, Town, Zip) *

email *

Parish Envelope

Language Spoken at Home *

Child's Name *

Date of Birth *

Sex Select all that apply Male Female

School Attending *

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, when?

If new to the program, has your child(ren) received communion? If yes, when?

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)

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

Home Phone *

Office Phone

Cell Phone

Father's Marital Status Select all that apply Married Divorced Separated Widowed Single

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

Home Phone *

Cell Phone

Office Phone

Mother's Marital Status Select all that apply Married Divorced Separated Widowed Single

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