2019-2020 North Parish RE Registration

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If you have questions or problems when filling out this form, please contact Rebecca Driscoll at rebeccaatnorthparish@gmail.com.

Family Name *

This is how we will address letters sent to your whole family. Would you like to be known as the Doe Family or the Doe-Smith Family?

Parent/Guardian #1 Name *

First and Last Name please

Preferred Phone Number *

Email Address *

Parent/Guardian #2 Name *

First and Last Name please

Does Parent/Guardian #2 participate at North Parish? *

Yes

Preferred Phone Number

If different from above

Email Address

If different from above

Home Address *

This should be the primary address, where I will send letters or notes. Please include City and State when answering.

Secondary Address

Is there a secondary address where I should also be sending information?

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