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Re-Registration for Religious Ed. 2019-2020
This form is to be filled out every year when registering for Religious Education. If you are Re-registering your child, you do NOT have to fill out the New Student Religious Education Sign-Up form.
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* Indicates required question
Family Information
Full Name of the Person Registering this(these) child(ren)
*
Your answer
Relationship to the child(ren)
*
Parent
Guardian
Other:
Father/Guardian Full Name
*
If only one guardian, please specify here.
Your answer
Father/Guardian Phone
The name, phone number and email MUST be listed for at least one of the parents/guardians
Your answer
Father/Guardian Phone given above
The name, phone number and email MUST be listed for at least one of the parents/guardians
Choose
Mobile
Home
Work
Father/Guardian E-mail
Your answer
Mother/Guardian Full Name
*
If only one guardian, please specify here.
Your answer
Mother/Guardian Phone
The name, phone number and email MUST be listed for at least one of the parents/guardians
Your answer
Mother/Guardian Phone above
The name, phone number and email MUST be listed for at least one of the parents/guardians
Choose
Mobile
Home
Work
Mother/Guardian E-mail
Your answer
Main email to use for Religious Ed. updates and information
*
Your answer
Street Address
*
Your answer
Town
*
Muncy, PA
Hughesville, PA
Turbotville, PA
Picture Rocks, PA
Montgomery, PA
Clarkstown, PA
Delaware Run, PA
Other:
Zip Code
*
Your answer
Number of children registering?
*
Choose
1
2
3
4
5
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