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St. Matthew Religious Education Registration 2022-2023/ Registro para Educación Religiosa Clase 2022-2023
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* Indicates required question
Student Last Name/Apellido del Estudiante
*
Your answer
Student First Name/Nombre completo del estudiante
*
Your answer
Student Birth Date/ Fecha de Nacimiento
*
MM
/
DD
/
YYYY
Gender/Genero
*
Male/Masculino
Female/Femenino
Required
Grade/Grado 2022-2023
*
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
2 (3)
2(4)
Required
Life Teen Youth Ministry (8th-12th grade). Is your son/daughter interested in Life Teen? / Grupo Juvenil (8th-12th grado) esta interesado en que lo contactemos para el grupo juvenil?
Yes
No
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Phone Number/Numero Teléfono
*
Your answer
Emergency Phone Number/Número de emergencia
*
Your answer
Email/Correo electrónico
Your answer
Best Phone Number for Text Notifications/ número de teléfono para notificaciones de texto
Your answer
Street Address/Dirección
*
Your answer
City/Ciudad
Your answer
Zip Code/Codigo Postal
Your answer
State/Estado
Your answer
Father's Name/Nombre del Padre
*
Your answer
Father's Religion/Religión del Padre
Your answer
Mother's Name/Nombre de la Madre
*
Your answer
Mother's Religion/Religión de la Madre
Your answer
Any Allergies or Notes? / alergias o notas?
Your answer
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