Faith Formation: Sacramental Preparation for Children with Special Needs

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Mother of Sorrows Catholic Parish- Family / Student Information

Today's Date *

YYYY

Name of Student *

Date of Birth *

YYYY

Grade in School (Applicable) *

Parent / Guardian Name(s) *

Address *

Home Phone Number

Work Phone Number (Optional)

Cell Phone Number *

Do you text? *

Yes

Email *

Home Parish *

Year of Baptism (If different from Home Parish)

Does the student have any dietary restrictions? *

Yes

If the student has any dietary restrictions, please describe.

Please describe any special learning, communication, mobility, or other issues and challenges the student faces that will help this ministry provide the most meaningful learning experience possible. Include anything that the child finds motivating and enjoyable such as music, crafts/ drawing, animation, etc. Providing this information is voluntary but strongly encouraged.

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