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Father's Full Name |
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Mother's Full Name |
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Home Address |
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City |
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Home Phone Number |
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Email |
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Cell phone number
That can be used to contact a
parent during class time in case
of an emergency. |
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Child #1 |
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Child's Full Name |
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Birth date m/d/y |
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Grade in school for 2007-8 |
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Which Sacraments has this child
received?
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Baptism
Reconciliation
Eucharist
Confirmation |
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Which class day would you prefer
for this child? |
Sunday
Wednesday |
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Additional information about
this child - previous Catholic religious education; grades
classes were attended; name and location of church(es). |
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If there are any health
conditions, medical problems, or special needs of which your
child's catechist should be aware, please explain them here. |
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Child #2 |
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Child's Full Name |
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Birth date m/d/y |
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Grade in school for 2007-8 |
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Which Sacraments has this child
received? |
Baptism
Reconciliation
Eucharist
Confirmation
|
|
Which class day would you prefer
for this child? |
Sunday
Wednesday |
|
Additional information about
this child - previous Catholic religious education; grades
classes were attended; name and location of church(es). |
|
|
If there are any health
conditions, medical problems, or special needs of which your
child's catechist should be aware, please explain them here. |
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|
Child #3 |
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Child's Full Name |
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Birth date m/d/y |
|
|
Grade in school for 2007-8 |
|
|
Which Sacraments has this child
received? |
Baptism
Reconciliation
Eucharist
Confirmation
|
|
Which class day would you prefer
for this child? |
Sunday
Wednesday |
|
Additional information about
this child - previous Catholic religious education; grades
classes were attended; name and location of church(es). |
|
|
If there are any health
conditions, medical problems, or special needs of which your
child's catechist should be aware, please explain them here. |
|
|
Child #4 |
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|
Child's Full Name |
|
|
Birth date m/d/y |
|
|
Grade in school for 2007-8 |
|
|
Which Sacraments has this child
received? |
Baptism
Reconciliation
Eucharist
Confirmation
|
|
Which class day would you prefer
for this child? |
Sunday
Wednesday |
|
Additional information about
this child - previous Catholic religious education; grades
classes were attended; name and location of church(es). |
|
|
If there are any health
conditions, medical problems, or special needs of which your
child's catechist should be aware, please explain them here. |
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| |
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Additional comments or
special needs; |
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