2021/22 All Saints PREP Registration
Please fill out one form per child
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Is your Family New to All Saints PREP? *
Required
Which Program will you children participate in; *
How Many Children Will You Be Registering? *
Required
CHILD'S INFORMATION
Child's First Name *
Child's Last Name *
Gender *
Required
Birth Date *
MM
/
DD
/
YYYY
Name of School for 2021-2022 *
Baptized at (include church name and year) *
First Communion at (include church name and year) *
if applicable, last PREP level completed *
FAMILY INFORMATION:
Mother's Full Name *
Mother's Religion *
Mother's Phone Number *
Father's Full Name *
Father's Religion *
Father's Phone Number *
Preferred Email Address for Correspondence *
Family Status *
Required
Home Address (include postal code) *
EMERGENCY CONTACT:
Emergency Contact Full Name *
Emergency Contact Phone Number *
*Please state in the space below anything that you would like your child's teacher or PREP coordinator to know, e.g., allergies, medical condition, English as second language, learning disabilities, behaviour issues, class preferences, family situation, etc. *
Parish Envelope Number *
REGISTRATION FEES
[Please include CHEQUE payable to ALL SAINTS PARISH PREP according to this schedule:
Basic Fees *
Required
Additional Sacramental Year Fees Per Child
Total Amount Due *
Payment Preference *
Required
Payment Options:  E-Transfer to allsaintsparish@shaw.ca I Cheque payable to All Saints Parish PREP I Mail to: Ivy Barcelon, PREP Coordinator, 821 Fairfax St., Coquitlam, BC, V3J5K7
NOTES & CONFIRMATION
Please note - preference will be given to All Saints Registered Parishioners

By submitting this form, I accept the obligation of seeing that my child attends class regularly. The information I have supplied is accurate and if there are ny problems that may affect my child's behaviour in class, I will inform the teacher or coordinator directly.

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