Parent/Guardian 2 Address(if different from above)
Your answer
Parent/Guardian 2 Phone Number
Your answer
Email Address
Your answer
Our primary method of communication is through Evangelus. We will add you to the appropriate groups. Would you prefer to be contacted via text or email for these messages? *
Children's Doctor Information
Please include doctor name, clinic and phone number
Your answer
Does your student(s) have allergies or medical concerns?
Please list children's name along with allergies, or other important information(Dyslexia, ADD, extra sensitivities, etc). Please leave blank if none.
Your answer
Emergency Contact if parents cannot be reached *
Please include name, relationship to child and phone number.
Your answer
I am interested in volunteering.
I grant permission for St. James to publish photos of my student(s) in the church's various forms of publications or the church's website. *