CGS Registration Form 2018-19

Name of Father REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter valid data.

Name of Mother REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter valid data.

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

Street Address REQUIRED Please fill out this field. Please enter valid data.

City and Zip Code REQUIRED Please fill out this field. Please enter valid data.

My child has permission to participate in Archdiocesan Safe Environment Training REQUIRED Yes No Please fill out this field.

Registered at Sacred Heart of Mary REQUIRED Yes No Please fill out this field.