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Christian Formation Registration
2019-2020
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* Indicates required question
Youth Name (incl. nickname)
*
Your answer
Date of Birth
*
DD
/
MM
/
YYYY
Grade in School
*
Your answer
Name of School
*
Your answer
Baptized?
Yes
No
Clear selection
Date and place of Baptism
Your answer
Confirmed?
Yes
No
Clear selection
Date and place of Confirmation
Your answer
Special Needs or considerations?
Your answer
Allergies or health concerns?
Your answer
Siblings and their ages
Your answer
Parent #1 Full Name
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Street Address
Your answer
Parent #2 Full Name
Your answer
Email
Your answer
Phone Number
Your answer
Street Address (if different)
Your answer
Preferred Method of Contact
Your answer
Parent to contact first
Parent #1
Parent #2
Either/ doesn't matter
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