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Religious Ed. Kindergarten, Grades 1, and 3-8 only

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2024-25 Sacred Heart of Jesus Parish
Religious Education K, 1 , 3-8

Please complete all sections of the registration form.
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- 1'st Childs Name (First and Last Name ) REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- If your registering more than 1 child please enter the additional children's information here... please include birthdates for each child registered REQUIRED Please fill out this field.
- Current School Grade REQUIRED Please fill out this field. Please enter valid data.
- Grade for CCD REQUIRED Please fill out this field. Please enter valid data.
- PLease enter the total # of children being registered for K, 1, 3-8 (note 2'nd grade is 1'st Holy Communion) REQUIRED Please fill out this field. Please enter an integer (number).
- Allergies: Please enter valid data.
- Please complete the section below with the parent's information..
- Cost REQUIRED
  60.0 – 1 -child
  100.0 – 2 or more children Please fill out this field.
- Parents Information
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Home or Cell Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mothers name (please include maiden name) REQUIRED Please fill out this field. Please enter valid data.
  
  Nearest Relative Full name (emegency contact) .. please include Phone # REQUIRED Please fill out this field. Please enter valid data.
Total:

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