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Family Connection Registration

Welcome to the Family Connection! We look forward to meeting you and your child in our programs. Please complete the registration information and submit it. Registration is only for new families who have never participated in our programs.
New Family Registration form
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name 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.
- Best Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Child's Full Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Date of Birth REQUIRED Please fill out this field. Please enter a date.
- I am interested I joining the following program with my child.
Submit

St. John the Evangelist/St. Charles Borromeo