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Parish School of Religion

Registration Form

Thanks for taking a moment to register with our Parish School of Religion. Please fill out as many form fields as apply to your child.

Student Information
Student's Name
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Date of Birth //
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Gender
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Name of School
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Grade
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New or Returning PSR Student
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Previous Religion Education
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Student's Primary Address
The student resides with
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Address
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Primary Phone Number --
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Primary Email Address
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Alternate Email Address
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Parent(s)/Guardian(s) registered at St. George
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Mother
Mother's Name
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Marital Status
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Primary Phone Number --
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Alternate Phone Number --
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Religion
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Occupation
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Father
Father's Name
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Marital Status
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Primary Phone Number --
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Alternate Phone Number --
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Religion
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Occupation
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Legal Guardian
If you are not the biological or adoptive parent of this child, please complete the fields below.
Guardian's Name
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Guardian's Name (2)
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Relation to Student
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Legal Custody
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Emergency Contact Information
Name
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Relationship
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Address
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Primary Phone Number --
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Alternate Phone Number --
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