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New Student

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  Child's Information REQUIRED Please fill out this field.
  
  Child's Information 1
  
  Homeschool ($25 FEE+$20 late registration FEE) REQUIRED Homeschool Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  2023- 24 Grade REQUIRED Please fill out this field.
  
  Would you like to order a religion t-shirt for your child? They will wear them on the last day ($9- to be paid by the end of the registration deadline 2/28. If not paid, no shirt will be ordered for you)(ORDERS CLOSED) REQUIRED Please fill out this field.
  
  Child's shirt size
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Previous Religious Education REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Baptism REQUIRED Please fill out this field. Please enter a date.
  
  Church and City of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter an integer (number).
  
  Mother
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Parishioner of St. Joseph the Worker? ($40 fee for In-person if not a parishioner- please pay by 2/28) REQUIRED Yes No Please fill out this field.
  
  Church Parish if not St. Joseph the Worker. 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.
  
  Mom's Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Dad's Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Home Phone Number Maximum 20 characters Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Do you give us permission to use your child's image that may be used for media outlets REQUIRED Yes No Please fill out this field.
  
  Please List any Allergies, special and or medical needs below
  
  Do you give permission for your child(ren) to be around animals (we are trying to get a "Noah's Ark Petting Zoo" as part of our lesson one day) REQUIRED Please fill out this field.
  
  Who Can Pick up your Child
  
  Emergency Contact
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Submit
  
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Volunteer Registration

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Registration

St Joseph the Worker

Pierre Part, LA

New Student