St. John the Evangelist (Pawling, NY)
St. Charles Borromeo (Dover Plains, NY)

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Returning Student Registration Form

- PREP

PREP registration is closed for the 2022 - 2023 Religious Education year.
The maximum number of form submissions has been reached. This form is currently not available.
- FAMILY INFORMATION:
- Family Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Family Home Mailing Address REQUIRED Please fill out this field. Please enter valid data.
- P. O. Box (if applicable) 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.
- Home Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Mother's name Please enter valid data.
- Mother's Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Mother's Maiden Name Please enter valid data.
- Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
- Father's Name Please enter valid data.
- Father's Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Father's Religion Please enter valid data.
- ENTER EACH CHILD IN YOUR FAMILY BELOW:
- 1. Child's Name REQUIRED Please fill out this field. Please enter valid data.
- Religious Education Grade REQUIRED Please fill out this field.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- 2022-2023 School Name REQUIRED Please fill out this field. Please enter valid data.
- School Grade in September 2022 REQUIRED Please fill out this field.
- 2. Child's Name Please enter valid data.
- Religious Education Grade
- Date of Birth Please enter a date.
- 2022-2023 School Name Please enter valid data.
- School Grade in September 2022
- 3. Child's Name Please enter valid data.
- Religious Education Grade
- Date of Birth Please enter a date.
- 2021-2022 School Name Please enter valid data.
- School Grade in September 2022
- 4. Child's Name Please enter valid data.
- Religious Education Grade
- Date of Birth Please enter a date.
- 2022-2023 School Name Please enter valid data.
- School Grade in September 2022
- 5. Child's Name Please enter valid data.
- Religious Education Grade
- Date of Birth Please enter a date.
- 2022-2023 School Name Please enter valid data.
- School Grade in September 2022
- 6. Child's Name Please enter valid data.
- Religious Education Grade
- 2022-2023 School Name Please enter valid data.
- School Grade in September 2022
- PERMISSIONS
- I give my permission for St. John the Evangelist-St. Charles Borromeo Church to photograph or videotape my child/children to be used for internal purposes. Pictures/videos will not be released to the public without specific consent.
  (Selecting NO disallows any class picture of use of your child/children's image in any presentation.)
- Do you give photo/video permission for your child or children? REQUIRED YES NO Please fill out this field.
- I give my permission for my child/children to use the Internet for research and/or assignments. REQUIRED YES NO Please fill out this field.
- I give my permission for my phone number to be given to the CRISIS PHONE PERSON for his/her class to be used in an emergency. (Checking NO may hinder our reaching you in an emergency.)
- I give permission for my phone number to be given to the CRISIS PHONE PERSON. REQUIRED YES NO Please fill out this field.
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Returning Student Registration Form

PREP registration is closed for the 2022 - 2023 Religious Education year.

FAMILY INFORMATION:

ENTER EACH CHILD IN YOUR FAMILY BELOW:

PERMISSIONS