Faith Formation 2022/23 Registration CHILD FORM


 

CHILD'S GENERAL INFORMATION
Family Last Name
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Write the collective last name of the child's family.
Child's First
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Write the FIRST name of the child being registered; include nickname in (parenthesis).
Child's Last
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Write the LAST name of the child being registered.
Date of Birth //
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Gender
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School (Fall 2022)
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Grade (Fall 2022)
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My child is...
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Please share any insight about your child that may help us. Is your child shy? Outgoing? Do they acclimate well to change? Do they do well in groups? This information is confidential and will NOT be shared.
ATRIUM SESSIONS
1st Choice
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Select your 1st choice for your child.
2nd Choice
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Select a different choice.
Family Needs
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List anything specific to your family such as carpooling with a friend, sibling needs etc.
CHILD'S MEDICAL INFORMATION
All information on this form will be kept confidential and only used in case of medical need or emergency.
Emergency Treatment
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In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by the hospital or a doctor. *
Parent/Guardian Name
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Today's Date //
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Medications
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List any medications your child is currently taking, including dosage and purpose. All information is confidential.
Medical Information
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Please list any information pertinent to the health and safety of your child such as allergies, dietary restrictions, diagnosed medical conditions etc. All information is confidential.
Sacramental Preparation?
Will your child be preparing to receive First Reconciliation and First Communion this year?
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If yes, please submit a 2022/23 Registration Form for Sacramental Preparation for your child.
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