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Disciples Registration 2020-2021

You must be a registered member of St. Clare of Assisi parish. This form is for students in Kindergarten through Fifth Grade in school year 2020-2021Questions? Contact Brian at bguillot@stcpaz.org or 623-975-5606.

Contact Information
Registered at St. Clare?
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Last Name
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Address
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Father's Name
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Mother's Name
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Phone --
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Email
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Emergency Contact Name
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Emergency Contact Relationship
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Emergency Phone Number --
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Child 1
Child's Name
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Birth Date //
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Gender
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Grade for 2020-21
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Sacraments Completed
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Please check off the Sacraments that this child has already received.
Special Needs
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Child 2
Child's Name
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Birth Date //
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Gender
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Grade for 2020-21
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Sacraments Completed
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Please check off the Sacraments that this child has already received.
Special Needs
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Child 3
Child's Name
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Birth Date //
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Gender
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Grade for 2020-21
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Sacraments Completed
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Please check off the Sacraments that this child has already received.
Special Needs
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Child 4
Child's Name
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Birth Date //
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Gender
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Grade for 2020-21
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Sacraments Completed
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Please check off the Sacraments that this child has already received.
Special Needs
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Parent Signature
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Please Remember Tuition is $100 per student with a maximum of $200 per family. Click on the "Donate" tab and follow the prompts.
 
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