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Returning Student 2nd -8th

- Religious ED

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- Family Last Name (To keep members of the same family together) REQUIRED Please fill out this field. Please enter valid data.
- Student Name REQUIRED Please fill out this field. Please enter valid data.
- Student Grade Level REQUIRED Please fill out this field.
- Mother's Name Please enter valid data.
- Mother's Phone Number Please enter a phone number.
- Mother's Email Please enter an email address.
- Mother's Preferred Language
- Father's Name Please enter valid data.
- Father's Phone Number Please enter a phone number.
- Father's Email Please enter an email address.
- Father's Preferred Language
- Emergency Contact's Name (Other than Parent) REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact's Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact's Relationship to Student REQUIRED Please fill out this field. Please enter valid data.
- Any medical conditions we should be aware of (allergies, learning or physical disabilities, etc.) Please enter valid data.
- Selecting a Day and Time is intended for parent meetings and presentations through the year (Not for student virtual instruction). Parents please choose the day and time that best accomidates your schedule.
  This is temporary for now. The complete Faith Formation Module will be explained in the September ZOOM parent meetings.
- Day and Time of Class REQUIRED Please fill out this field.
- Check the sacrament(s) that the student will be preparing for this year 2020-2021.
- Sacraments Needed by Student: REQUIRED Reconciliation (Confession) First Holy Communion Confirmation Ongoing Formation (No sacraments this year) Please fill out this field.
- Please provide preferred phone number to receive text message notifications through our flock note system: REQUIRED Please fill out this field. Please enter a phone number.
- Please provide preferred email to receive notifications through our flock note system: REQUIRED Please fill out this field. Please enter an email address.
- Change of Address?
  
  New Home Address
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Online Curriculum or Printed Curriculum
  
  Online Curriculum: Parents and children will be able to access the curriculum through the webpage with resoureces for the family.
  
  Printed Curriculum: Includes a student book, guides for completing each lesson, activities and printed family resources.
  
  Please let us know how you would like to receive the curriculum. REQUIRED Online Curriculum Printed Curriculum Please fill out this field.
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