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Fall Religious Education Registration 2023/2024
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* Indicates required question
Registration for Christian Education at NGMLC
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Student's Birth date
*
Your answer
Student will attend what school grade in 2023-2024 (If Pre-K, go to next question)
Choose
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Student is what age (ONLY if PRE-K)
Choose
Age 3
Age 4
Age 5
Student's Email Address (If Applicable)
Your answer
Parent 1 (Mother/ Father / StepParent)
*
Your answer
Parent 1 Email address
*
Your answer
Parent 1 Phone Number
*
Your answer
Parent 1 Address - Street Address
*
Your answer
Parent 1 Address - City
Your answer
Parent 1 Address - Zip Code
Your answer
Parent 1 Preferred Method of Communication
*
Choose
Email
Text
Phone Call
Parent 2 (Mother / Father / StepParent)
Your answer
Parent 2 email address
Your answer
Parent 2 Phone Number
Your answer
Parent 2 Address Street Address (IF Different than Parent 1)
Your answer
Parent 2 Address - City
Your answer
Parent 2 Address - Zip Code
Your answer
Parent 2 Preferred Method of Communication
Choose
Email
Text
Phone Call
Student's Allergies If None, Click NONE
*
Yes - PLEASE LIST Allergies below in other information to share
NONE
Siblings and age
Your answer
Other Information You Would Like To Share (Speech, Learning, Emotional, Cognitive abilities; e.g. Sensory, Attention)
Your answer
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