St. Agnes Cathedral School Enrichment Program Registration Form

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Please complete a separate form for each child you wish to register. Please note there is the option to sign up for as many as three classes, each with an alternate choice in case your first choice is unavailable. We will contact you via email prior to the first class to confirm enrollment and to let you know the required fee for your classes. All fees must be paid prior to the second class to maintain enrollment. If you have any questions, please reach out to Jenny Boller at jenny.boller@gmail.com or Michelle Creegan at creeganmichelle@gmail.com. Thank you for supporting our enrichment program!

Parent/Guardian's Name *

Parent/Guardian's Email *

Parent/Guardian's Phone Number *

Child's Name

Child's Class/Section

Will your child be taking the RVC School District late bus? (Please note that any dismissal changes must be noted in Pickup Patrol.)

Yes

Clear selection

Enrichment Class #1

Alternate Enrichment Class #1

Enrichment Class #2

Alternate Enrichment Class #2

Enrichment Class #3

Alternate Enrichment Class #3

Submit

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