25-26 Defenders of Life Enrichment Registration Form

Defenders of Life Enrichment

2025-2026
Come check out our prolife group. Our group meets monthly (the third Wednesday of the month, starting Sept 17th), where we will pray the rosary, have activities, and also be a part of helping with activities throughout the school year such as respect life bingo, respect life breakfast, and more.

There is no cost to join the Defenders of Life enrichment program.
Parent/Guardian Name*
Date*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Parent Email address*
example@example.com
Student 1 Name*

First NameLast Name
Class*
Student 2 Name

First NameLast Name
Class
Student 3 Name

First NameLast Name
Class
Allergies, medical concerns, or other information about your child we may need to know (if registering multiple children, specify child with information):
Picked up by parent or guardianAttending Kids ClubOther
Signature*

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