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2010-2011 School Year Registration Form

PLEASE PRINT

Child's Name _________________________ Baptismal Name: ________________________
Age: ___________Grade:______________ Birthday: _______________________________
Parents Name:
Mother___________________________________

Father___________________________________

Phone Number:
#_____________________________________
Cell Phone Number:
#_____________________________________
Email:
______________________________________
My child has attended __________ years of Sunday School / Religious Instruction My child speaks: English _____  Russian _____
Other ______
We have "The Law of God" Book: 

YES_______   or   NO___________

Your Address:_________________________

_____________________________________

_____________________________________