Number of children
*
You may register up to 3 children from a single household using this form.
Child 1
Child 1 Information
Child's Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Child's Gender
*
Male
Female
Child's T-Shirt Size
*
Please Select
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Adult Small
Included in registration cost
Medical information including allergies (Type N/A if not applicable)
*
Child 2
Child 2 Information
Child's Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Child's Gender
*
Male
Female
Child's T-Shirt Size
*
Please Select
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Adult Small
Included in registration cost
Medical information including allergies (Type N/A if not applicable)
*
Child 3
Child 3 Information
Child's Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Child's Gender
*
Male
Female
Child's T-Shirt Size
*
Please Select
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Adult Small
Included in registration cost
Medical information including allergies (Type N/A if not applicable)
*
Parent Information
Parent/Guardians 1 Name
*
First Name
Last Name
Parent 1 Cell or Home Number
*
-
Area Code
Phone Number
E-mail
*
example@example.com
Connection to St Matthias
Regular Attender
Visitor
Anything you would like us to know?
We will contact you if we have room for your child. Thank you!
Submit
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