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Online Re-Registration
PREP
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PREP Registration
The maximum number of form submissions has been reached. This form is currently not available.
Family Name
REQUIRED
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Phone Number
REQUIRED
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Please enter a phone number.
Mother's Cell Phone Number
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Father's Cell Phone Number
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Email
REQUIRED
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Please enter an email address.
Street Address
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City
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State
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KS
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LA
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Zip
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Session selection will be honored based on availability and all unpaid balances must be paid in full.
Registrations received after June 30th will be at the higher rate
.
If there is a financial concern, please contact our business manager, Mr. Lou Tonelli in the Parish Office at 215-362-7400.
Session Selection
Tuesday, 4:40-6:00
Wednesday, 4:40-6:00
Wednesday eve. 6:30-7:50
Tuition:
1 child $
2 children $
3 children $
(each additional child $100)
Materials fee:
First Penance/First Holy Communion $
Confirmation $
Number of Students Returning
REQUIRED
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Returning Student 1
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Grade Next Year
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School
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Returning Student 2
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Grade Next Year
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School
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Returning Student 3
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Grade Next Year
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School
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Returning Student 4
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Grade Next Year
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School
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Number of New Siblings
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New Student 1
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Grade Next Year
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School
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New Student 2
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Grade Next Year
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School
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Is there a custody agreement concerning your child(ren)? If yes, please provide a complete copy of the latest court order.
Yes
No
Emergency Contact Information: If we are unable to reach you, whom should we contact?
Name:
REQUIRED
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Relationship
REQUIRED
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Phone Number
REQUIRED
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Cell Phone Number
REQUIRED
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Please enter a phone number.
Consent for Medical Care:
I give permission that, in my absence, my children whose name appear on this registration form may receive emergency medical care for injuries and all situations that should occur while participating in the Religious Education Program and activities at Mary, Mother of the Redeemer Parish.
Medical/Learning Data:
If any of the following apply to your child, please list his/her name and give details.
Child's Name
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Medical Conditions/Allergies
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Prescribed Medications
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Disability/Learning Support Services
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IEP
Yes
No
By re-registering my chid(ren) I agree to abide by the policies listed in the PREP Handbook. I am aware it is my responsibility to review the handbook online prior to the start of PREP in September.
I Agree
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I give permission for my child's picture to appear on the parish name website, bulletin boards, newspaper articles in relation to events that happen in the parish. I give permission for my child to be photographed during sacrament celebrations.
I Agree
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I Disagree
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Parent/Legal Guardian:
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Date
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