Mother's Full Maiden Name (needed for child's sacramental records) *
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Child 1's Name *
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Child 1 Goes by (Nickname)
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Grade for Fall 2021
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Child 2's Name
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Child 2 Goes by (Nickname)
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Grade for Fall 2021
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Child 3's Name
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Child 3 Goes by (Nickname)
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Grade for fall 2021
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Additional Information to Help Us Support Your Children
E.g., Allergies, Learning Accommodations, etc.
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Religious Education Meeting Times Preference *
Wymagane
Please let us know if you family has any special circumstances that it would be helpful for us to know to better meet your needs.
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Confirmation families- if you would like your high school child to receive emails about class and other events directly, please include their email below. Parents are always cc'd on communication with minors.
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Has any of your family's contact information changed or are you new to our program? *
E.g., Address, Email Address, Phone Number, Emergency Contact, Family Structure, etc.
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