Children of Mary Registration Form (2025-2026)
Children of Mary Registration Form (2025-2026)
1
Basic Information
>
2
Waivers
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3
Child's Medical Information
Child's Name:
Child's Name:
*
First
Middle
Last
NO initials or nicknames.
Child's Gender:
*
Male
Female
Grade Entering in the Fall
*
Name of School Child Attends
*
Parent/Guardian Name:
Parent/Guardian Name:
*
First
Last
NO initials or nicknames.
Parent/Guardian Mailing Address:
- Street
- City, State, Zip Code
*
Parent/Guardian Cell Phone:
*
Parent/Guardian Email Address:
*
Emergency Contact Name:
- Person to contact in case parent/guardian cannot be reached.
Emergency Contact Name:
- Person to contact in case parent/guardian cannot be reached.
*
First
Last
NO initials or nicknames.
Emergency Contact Cell Phone:
*
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*
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