Instructions
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After completing the following, you will be redirected to a second portion of the registration in Faith Direct, which will include payment, waivers, and further information. |
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Student 1 |
*First Name |
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*Last Name |
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Middle Name |
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Goes By |
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*Birth Date |
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*Gender |
Female Male |
*Grade Fall 2017 |
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School |
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Class Choices |
*Class 1 |
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Student Remarks |
Allergies |
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Special Needs |
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*Family Option
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New Family Information
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Update Existing Family Information
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ID/Env:
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Head of Household |
*Legal 1st Name |
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*Last Name |
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Middle Name |
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Relationship |
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Maiden Name |
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*Gender |
Female Male |
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. |
Cell Phone |
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( )
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Unlisted
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Email 1 |
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Unlisted
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Send Email Instead of Mail When Possible |
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Spouse |
Legal 1st Name |
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Last Name |
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Relationship |
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Maiden Name |
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Gender |
Female Male |
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. |
Cell Phone |
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( )
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Unlisted
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Email 1 |
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Unlisted
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Send Email Instead of Mail When Possible |
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Family Street Address |
*Line 1 |
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*City |
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*State |
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*ZIP |
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Home Phone |
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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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Unlisted
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Family Email Address |
*Preferred Email |
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Unlisted
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Send Email Instead of Mail When Possible |
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