StMark-Shoreham - Little People's Parables Registration

Little People's Parables Registration Form
Child's Name

First NameLast Name
Age:
Birthday:
Parent(s)/Guardian(s):

First NameLast Name
Parent(s)/Guardian(s):

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone:
Format: (000) 000-0000.
Alternate Phone:
Format: (000) 000-0000.
Email:
example@example.com
Emergency Contact
Name

First NameLast Name
Relationship:
Phone:
Format: (000) 000-0000.
Medical Information
Allergies or Medical Concerns:
T-Shirt Size
Please check one
Registration
Please check one
We meet the first Sunday of each month following the 9:30 AM Liturgy of the Word MASS in the Parish Center.
- ❤ October 4
- ❤ November 1
- ❤ December 6
- ❤ January 3
- ❤ February 7
- ❤March 7
- ❤ April 4
- ❤ May 2
- ❤ June 6
- ❤ July 11* (special date)
- ❤ August 1
★ August 1
Performance during the
9:30 AM Mass and
End-of-Year Party
following!
Should be Empty: