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CGS Level 2 Registration Form

- Faith Formation

We are able to have 12 children ages 6-9 in our Level 2 program this year! Children must by 6-9 by September 15, 2023.
CGS LEVEL 2 REGISTRATION FORM
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- Parent Information:
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Street 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.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  How would you like to receive communications from Holy Cross Parish? REQUIRED Email Text Email & Text Please fill out this field.
  
  AUTHORIZATION
  
  The Catechesis of the Good Shepherd program recognizes that you as the parent are the primary teacher of your children. We are honored to assist you in passing on the Catholic faith. All parents are responsible for bringing their children to Mass each weekend and participating in the sacraments.
  I Agree Please select this field.
  
  I am interested in learning more about becoming a parent helper! REQUIRED Yes No Please fill out this field.
- Number of children registering REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Grade entering in current school year: REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism date & location: REQUIRED Please fill out this field. Please enter valid data.
  
  Has your child received their First Holy Communion? REQUIRED Please fill out this field.
  
  Please provide any medical information or any other information you think we should know about. It is important that you provide this information, so we may better help your child in the classroom and can be prepared in case of an emergency.
  
  Do we have permission to photograph or record (video/audio) this student for the use of social media or website? REQUIRED Please fill out this field.
  
  Emergency Contact REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Grade entering in current school year: REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism date & location: REQUIRED Please fill out this field. Please enter valid data.
  
  Has your child received their First Holy Communion? REQUIRED Please fill out this field.
  
  Please provide any medical information or any other information you think we should know about. It is important that you provide this information, so we may better help your child in the classroom and can be prepared in case of an emergency.
  
  Do we have permission to photograph or record (video/audio) this student for the use of social media or website? REQUIRED Please fill out this field.
  
  Emergency Contact REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Grade entering in current school year: REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism date & location: REQUIRED Please fill out this field. Please enter valid data.
  
  Has your child received their First Holy Communion? REQUIRED Please fill out this field.
  
  Please provide any medical information or any other information you think we should know about. It is important that you provide this information, so we may better help your child in the classroom and can be prepared in case of an emergency.
  
  Do we have permission to photograph or record (video/audio) this student for the use of social media or website? REQUIRED Please fill out this field.
  
  Emergency Contact REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birth Date REQUIRED Please fill out this field. Please enter a date.
  
  Grade entering in current school year: REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism date & location: REQUIRED Please fill out this field. Please enter valid data.
  
  Has your child received their First Holy Communion? REQUIRED Please fill out this field.
  
  Please provide any medical information or any other information you think we should know about. It is important that you provide this information, so we may better help your child in the classroom and can be prepared in case of an emergency.
  
  Do we have permission to photograph or record (video/audio) this student for the use of social media or website? REQUIRED Please fill out this field.
  
  Emergency Contact REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Total:

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Holy Cross Parish

SIOUX CITY, IA

CGS Level 2 Registration Form

CGS LEVEL 2 REGISTRATION FORM

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