Newcomer Reception Registration
Thursday, January 30, 2025 | 5:30-7:00 p.m.
Adult 1 Full Name
*
First Name
Last Name
Adult 2 Full Name
First Name
Last Name
Suffix
Child 1 Full Name
First Name
Last Name
Child 1 Date of Birth
-
Month
-
Day
Year
Date
Child 2 Full Name
First Name
Last Name
Child 2 Date of Birth
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Adult 1 Phone Number
*
Adult 2 Phone Number
Adult 1 E-mail address
*
example@example.com
Adult 2 E-mail address
example@example.com
How did you hear about St. Stephen's?
Please Select
Friend/Word of Mouth
Website
Farmers Market
Social media
Event
Other
If you have additional names or any questions, please add them here.
Submit
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