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Parent Information

Register for Youth Religious Education 2023-2024
- See the Religious Education Program Page for the Schedule
- Please complete a separate form for each child.
  
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  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Grade in School REQUIRED Please fill out this field. Please enter an integer (number).
  
  Which Sacraments has the child received? REQUIRED Baptism First Penance First Communion Please fill out this field.
  
  Parents/Guardians REQUIRED Please fill out this field.
  
  Address 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.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Which Parent's Email Mother Father
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Which Parent's Cell Mother Father
  
  Home Phone Number even if the same as one of the cell phone's numbers REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Special Notes (Medical Issues, Allergies, etc.)
  
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St. Mary's & St. John's Churches

Waddington & Madrid, NY

Parent Information

Register for Youth Religious Education 2023-2024

Please complete a separate form for each child.