EDGE Registration 2023-2024

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Welcome to EDGE at St. Patrick's Parish Mississauga! ONE REGISTRATION NEEDED PER YEAR.

EDGE Nights are held every 2nd, 4th & 5th Fridays of the Month, from 6:30pm to 9:00pm. Our first EDGE Night of the new year will be on Friday, October 27th, 2023!

*Information is kept confidential.

Participant Information

First Name: *

Last Name: *

Birthday: *

YYYY

School: *

St. Thomas More

St. Vincent de Paul

St. Teresa of Calcutta (Mother Teresa)

St. Edmund

Other:

Grade: *

Teacher's Name: *

Allergies / Medical Conditions: *

N/A If Not Applicable

Parent / Guardian Information

At least one parent / guardian contact is required.
N/A if not applicable.

Home Phone Number: *

Mother's Name *

Mother's Cell Phone Number:

Father's Name: *

Father's Cell Phone Number:

E-mail Address: *

St. Parick's Parish will not release/sell your e-mail to a third-party

Emergency Contact Information

Please provide us with an emergency contact (other than parent / guardian) that we can call in case of an emergency.

Emergency Contact Name *

Emergency Contact Phone Number: *

Relationship to Participant: *

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