- Church of St. Michael - Farmington, MN

------------------------ Parent Information ---------------------------------

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. 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.

Email REQUIRED Please fill out this field. Please enter an email address.

Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Preferred Phone Number REQUIRED Please fill out this field.

------------------------ Attendee 1 Information ---------------------------------

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

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.

Birth Date REQUIRED Please fill out this field. Please enter a date.

Gender REQUIRED Please fill out this field.

Current Grade REQUIRED Please fill out this field.

T-Shirt size REQUIRED Please fill out this field.

Special Dietary Needs or allergies (food/medicine) Please enter valid data.

Medicines or Chronic Medical problems REQUIRED Please fill out this field. Please enter valid data.

May we use photos of your child in parish social media, bulletin or eblast communications? (no names or specific information will be shared) REQUIRED Yes No Please fill out this field.

------------------------ Attendee 2 Information ---------------------------------

First Name Please enter valid data.

Last Name Please enter valid data.

Email Please enter an email address.

Birth Date Please enter a date.

Gender

Current Grade

T-Shirt size

Special Dietary Needs or allergies (food/medicine) Please enter valid data.

Medicines or Chronic Medical problems REQUIRED Please fill out this field. Please enter valid data.

May we use photos of your child in parish social media, bulletin or eblast communications? (no names or specific information will be shared) Yes No

------------------------ Attendee 3 Information ---------------------------------

First Name Please enter valid data.

Last Name Please enter valid data.

Email Please enter an email address.

Birth Date Please enter a date.

Gender

Current Grade

T-Shirt size

Special Dietary Needs or allergies (food/medicine) Please enter valid data.

Medicines or Chronic Medical problems REQUIRED Please fill out this field. Please enter valid data.

May we use photos of your child in parish social media, bulletin or eblast communications? (no names or specific information will be shared) Yes No

------------------------ Attendee 4 Information ---------------------------------

First Name Please enter valid data.

Last Name Please enter valid data.

Email Please enter an email address.

Birth Date Please enter a date.

Gender

Current Grade

T-Shirt size

Special Dietary Needs or allergies (food/medicine) Please enter valid data.

Medicines or Chronic Medical problems REQUIRED Please fill out this field. Please enter valid data.

May we use photos of your child in parish social media, bulletin or eblast communications? (no names or specific information will be shared) Yes No

------------------------ Attendee 5 Information ---------------------------------

First Name Please enter valid data.

Last Name Please enter valid data.

Email Please enter an email address.

Birth Date Please enter a date.

Gender

Current Grade

T-Shirt size

Special Dietary Needs or allergies (food/medicine) Please enter valid data.

Medicines or Chronic Medical problems REQUIRED Please fill out this field. Please enter valid data.

May we use photos of your child in parish social media, bulletin or eblast communications? (no names or specific information will be shared) Yes No