OCIT Registration Form

OCIT Registration Form

Please fill out your personal details to complete registration.
Name of Student*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Place of Birth

Street Address

Street Address Line 2
Postal / Zip CodeCityState / Province
Date of Birth

MonthDayYear
MaleFemale
YesNo
Mother's First Name
Mother's Maiden Name
Mother's Last Name
Father's legal name
YesNo
Allergies
YesNo
Child's full legal name
Emergency contact name
Emergency contact phone number
Please enter a valid phone number.Format: (000) 000-0000.
Parent email
example@example.com
Parent cell phone
Please enter a valid phone number.Format: (000) 000-0000.
YES, I/We GRANT permission for St. Ann's to use images & Interviews of my child at Sacramental Events for INTERNAL communications for one yearNO I do not GRANT permission for St. Ann's to use images or interviews of my child last Sacramental Events for Internal communications for one year
Should be Empty: