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  • Child's Name REQUIRED Please fill out this field. Please enter valid data.
  • Child or Volunteer REQUIRED (Select One) Child Volunteer Please fill out this field.
  • Grade ( Fall of 2019) REQUIRED Please fill out this field. Please enter valid data.
  • T-Shirt Size REQUIRED (Select One) Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Please fill out this field.
  • Gender REQUIRED (Select One) Male Female Please fill out this field.
  • Family Registered at Prince of Peace REQUIRED (Select One) Yes No Please fill out this field.
  • Street Adress REQUIRED Please fill out this field. Please enter valid data.
  • City REQUIRED Please fill out this field. Please enter valid data.

    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

    Zip REQUIRED Please fill out this field. Please enter a zip code.
  • Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  • Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  • Text? REQUIRED (Select One) Yes No Please fill out this field.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • Parent Guardian Names REQUIRED Please fill out this field. Please enter valid data.
  • Emergency Contact REQUIRED Please fill out this field. Please enter valid data.
  • Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  • Person(s) other than parent that can pick up Child REQUIRED Please fill out this field. Please enter valid data.
  • Medical Conditions REQUIRED Please fill out this field.
  • The following two questions are for Volunteers only:
  • I would like to Help in one of these areas Guide Crafts/Music Games Snacks Pre-School Nursery Other
  • Days Available Monday Tuesday Wednesday Thursday Friday
  • Parent Guardian Signature REQUIRED Please fill out this field. Please enter valid data.
  • Date REQUIRED Please fill out this field. Please enter a date.
  • Please note that there is a $20.00 Material fee per child.
    (Discounts for multiple siblings) 
  • Online Payments ( Preferred) and available here. Make all other payments to Parish Office. 
    
    ** Watch for Flocknote emails: email is our primary means of communications.** 

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