Please indicate the parish at which you are registered: St. John Neumann    St. John the Baptist    Corpus Christi     Not registered 

Family Name____________________________ Address________________________________  Zip___________Home Phone____________

Father’s Name________________________________ Work Phone _________________ Cell _____________

Mother’s Name _______________________________ Work Phone _________________Cell ______________

Email: ________________________________________ Today’s Date __________________

Is there anything we should know that will help us with the formation of your child? This information will be kept confidential.

Learning problems/Disabilities:______________________________________________     

·        Custodial Arrangements:___________________________________________________

·        I am willing to help with:   Teacher’s Helper     Snack Aide     Recess Aide     set up the week prior

·        I will bring a:                      Snack     or             Something for Teacher’s Breakfast