Registration Form

St. Jude Parish Registration Form

Do You Need New Envelopes?

Yes

Registration Date

Family Last Name *Please fill the required field.

Husband's First Name *Please fill the required field.

Wife's First Name *Please fill the required field.

Wife's Maiden Name *Please fill the required field.

Email Address *Please fill the required field.

Address

City

State

Zipcode

Home Phone Number

Husband's Cell Number

Wife's Cell Phone

Work Phone Number

First Child's Full Name

First Child's Age

First Child's School Grade

Second Child's Full Name

Second Child's Age

Second Child's School Grade

Third Child's Full Name

Third Child's Age

Third Child's School Grade

Fourth Child's Full Name

Fourth Child's Age

Fourth Child's School Grade

Fifth Child's Full Name

Fifth Child's Age

Fifth Child's School Grade

Sixth Child's Full Name

Sixth Child's Age

Sixth Child's School Grade

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

3 + 4 = ? (Robot Math Test)