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* Indicates required question
Email
*
Your email
Name of Child
*
Your answer
Parent/Guardian(s) Name
*
Your answer
Address
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Current Grade
*
Your answer
Child's Age on September 1, 2021
*
Your answer
School Your Child Attends
*
St. Peter School
Public School and Attends St. Peter CCD Program
Public School and Attends St. Stephen CCD Program
Homeschool
Best phone number(s) to reach you
*
Your answer
Email address(es)
*
Your answer
Emergency Contact and Number
Your answer
T-Shirt Size
*
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult XL
Other:
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