Instructions
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Select your preferred class session. Placement is assigned on a first come, first served basis. Your preferred session is not guaranteed based on limited class sizes. |
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Registration Fee:
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1 child = $175
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2 children = $235
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3 or more children = $295
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Regsitrations will not be processed until payment is received. Payment may be made online after submitting the registration form, or at the parish office (cash or check).
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Head of Household |
Title |
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*First Name |
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*Last Name |
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*Gender |
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Marital Status |
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Family Street Address |
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*Line 1 |
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Line 2 |
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*City |
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*State |
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*ZIP |
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Family Phone Numbers |
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*Primary |
( )
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Unlisted
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Other |
( )
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Unlisted
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Family Email Address |
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*Email |
Unlisted
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Fee Total = $0.00 |
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Enroll Student 1 Do Not Enroll Student 1
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Student 1 |
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*First Name |
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*Last Name |
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Relationship |
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Middle Name |
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Nickname |
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*Birth Date |
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*Gender |
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*Grade/Degree |
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Sacraments |
Name |
Received |
Date |
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*Baptism |
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*First Penance |
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*First Communion |
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*Confirmation |
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*Class Choices |
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*Class 1 |
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Student Remarks |
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General Remarks |
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*Allergies |
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*Medical Conditions |
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*Behavioral/Learning |
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