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Registration

complete the following information.
- For those signing up multiple children, please complete the form for each individual.
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Child's First Name Please enter valid data.
  
  Child's Last Name Please enter valid data.
  
  Child's Grade Level in School Please enter valid data.
  
  Child's Age Please enter valid data.
  
  FAMILY INFORMATION
  
  Mother's First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Email REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Primary Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Type REQUIRED Please fill out this field.
  
  Mother's Secondary Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Type REQUIRED Please fill out this field.
  
  Father's First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Email REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Primary Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Type REQUIRED Please fill out this field.
  
  Father's Secondary Phone Number Please enter valid data.
  
  Type REQUIRED Please fill out this field.
  
  Secondary Emergency Contact REQUIRED Please fill out this field. Please enter valid data.
  
  Relation to Child REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Type REQUIRED Please fill out this field.
  
  Will this person ever be responsible for picking up my child? REQUIRED Please fill out this field.
  
  I understand the regulations and attendance policy as listed on the website. I have reviewed them with my child/children.
  I Agree Please select this field.
  
  I agree to allow St. George Catholic Church Parish to use my child's name and photo in online and/or printed materials
  I Agree Please select this field.
  
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