Family Options
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New Family
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Update Existing Family
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- ID/Env
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Instructions
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Please select the class you student will entering in the 2020-2021 School Year. Please read and complete the signature page of the Parent Handbook returning it the first day of classes. The Fee is Sixty Dollars ($60.00) per student due prior to the sessions beginning. If you are paying online there is a slight up charge for this convenience. Please contact Mr. Rasler for other payment options, if needed. |
Registration Fee
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$60.00
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Head of Household |
Title |
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Suffix |
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*First Name |
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*Last Name |
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Middle Name |
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Nickname |
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Relationship |
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Maiden Name |
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Ethnicity |
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Birth Date |
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*Gender |
Female Male |
Grade/Degree |
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Language |
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Marital Status |
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Phone Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply. |
Phone 1 |
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( )
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Unlisted
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Phone 2 |
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( )
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Unlisted
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Phone 3 |
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( )
-
Unlisted
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Spouse |
Title |
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Suffix |
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First Name |
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Last Name |
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Middle Name |
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Nickname |
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Relationship |
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Maiden Name |
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Ethnicity |
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Birth Date |
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Gender |
Female Male |
Grade/Degree |
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Language |
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Marital Status |
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Phone Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply. |
Phone 1 |
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( )
-
Unlisted
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Phone 2 |
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( )
-
Unlisted
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Phone 3 |
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( )
-
Unlisted
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Family Street Address |
*Line 1 |
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Line 2 |
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*City |
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*State |
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*ZIP |
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Family Phone Numbers |
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Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply. |
*Primary |
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( )
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Unlisted
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Other |
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( )
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Unlisted
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Family Email Address |
*Email |
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Unlisted
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Send Email Instead of Mail When Possible |
Fee Total = $0.00 |
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Student 1 |
Type |
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Title |
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Suffix |
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*First Name |
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*Last Name |
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Middle Name |
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Nickname |
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Relationship |
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Maiden Name |
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Ethnicity |
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Birth Date |
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*Gender |
Female Male |
Grade/Degree |
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Language |
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Marital Status |
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Phone Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply. |
Phone 1 |
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( )
-
Unlisted
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Phone 2 |
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( )
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Unlisted
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Phone 3 |
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( )
-
Unlisted
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Sacraments |
Baptism |
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Date |
1st Comm |
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Date |
Class Choices |
*Class 1 |
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Student Remarks |
Health Problems |
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Misc. Information |
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Student Contact 1 |
Title |
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Suffix |
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First Name |
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Last Name |
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Relationship |
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 Marital Status |
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Phone Numbers |
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Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply. |
Primary |
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( )
-
Unlisted
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Other |
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( )
-
Unlisted
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Email Address |
Email |
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Send Email Instead of Mail When Possible |
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