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High SChool / Confirmation Registration Form

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2023-24 Sacred Heart of Jesus Parish
Religious Education Life Teen Confirmation Registration

Please complete all sections of this 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.
- Please enter the child's Baptismal and 1'st Communion Information here.. REQUIRED
  Please enter the Sacramental information: Full name, Church,City,State, Date, BAPTIZED & Church,City,State, 1'st Holy Communion
  Please fill out this field.
- If your registering more than 1 child please enter the Sacramental information for the additional children here..
  Please enter the Sacramental information here for each additional child: Full name, Church,City,State, Date, BAPTIZED & Church,City,State, 1'st Holy Communion
- 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.
- Enter the total # of children being registered REQUIRED Please fill out this field. Please enter an integer (number).
- Allergies Please enter valid data.
- 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 Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Father's Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Name (please include maiden name) REQUIRED Please fill out this field. Please enter valid data.
  
  Nearest Relative full name ( emergency contact) .. please include Phone # REQUIRED Please fill out this field. Please enter valid data.
- Please complete the section below with the parent's information...
Total:

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