CGS Registration

: CHILDREN ATTENDING
Name of Child (#1), First & Last
Age as of October 1, 2023
Date of Baptism
Name of Child (#2), First & Last
Age as of October 1, 2023
Date of Baptism
Name of Child (#3), First & Last
Age as of October 1, 2023
Date of Baptism

: HOUSEHOLD INFORMATION
Household Surname
Parent/Guardian First (& Last if different from child's) Name
Parent/Guardian First (& Last if different from child's) Name

Street Address
Zip Code
Email address
Preferred Phone #

: Current session is Saturday from 9:30am to 11:30am. If a weekday time was offered as well, which of the following would you prefer?
Check the box for the additions sessions you would prefer.: Tuesday, 9:30am to 11:30amThursday, 9:30am to 11:30am
Other information we should know.

Our Lady of Mercy and St. Brigid