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Religious Education 2021-22 Registration
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* Indicates required question
Email
*
Your email
Parents / Guardians Names
*
Your answer
Street Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Registered at St. Joseph Parish?
*
Yes
No
Cell Phone Number
*
Your answer
Email (please double check)
*
Your answer
Student Full Name
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Student Grade in School
*
Your answer
Baptism Date
*
MM
/
DD
/
YYYY
First Communion Classes this year? (2nd Grade only)
Yes
No
Clear selection
Confirmation? (9th & 10th Grade only)
Yes- 9th Grade
Yes- 10th Grade
Clear selection
Emergency Contact Name, Phone Number, Relationship to student
*
Your answer
Allergies, Medical, Learning, Physical Disabilities
Your answer
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