The primary adult completing this form must have legal custody/guardianship of all of the child[ren] listed on this form.
I confirm that, as the Primary Parent/Guardian, I have legal custody/guardianship of all the minors that are listed on this registration form. *
Choose
Yes
No
PRIMARY PARENT/GUARDIAN NAME [First & Last] *
Primary must have LEGAL custody/guardianship of all of the child[ren].
Your answer
PRIMARY PARENT/GUARDIAN Contact Phone # *
Primary must have LEGAL custody/guardianship of all of the child[ren].
Your answer
PRIMARY PARENT/GUARDIAN is *
Primary must have LEGAL custody/guardianship of all of the child[ren].
the Mailing Address where the child[ren] reside[s] with the PRIMARY Parent/Guardian: *
Example: 5510 W CHOLLA ST
Your answer
City of Address where the child[ren] reside[s] with the PRIMARY Parent/Guardian: *
Your answer
Zip Code of Address where the child[ren] reside[s] with the PRIMARY Parent/Guardian: *
Your answer
SECONDARY PARENT/GUARDIAN NAME [First & Last] *
if n/a, write n/a
Your answer
SECONDARY PARENT/GUARDIAN Contact Phone # *
if n/a, write n/a
Your answer
SECONDARY PARENT/GUARDIAN is *
Does the Secondary Parent/Guardian listed above have legal custody/guardianship of all of the children? *
Required
I would like to volunteer OR am interested in: *
check all that you are interested in helping with and a coordinator will contact you
Required
If applicable, Full Name[s] of person[s] who may NOT pick up this child/these children from Faith Formation/Edge/Life Teen/Sacrament Prep. Separate names with a comma.