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Register for Sunday Preschool

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We are happy you are enrolling your child(ren) in our Sunday Preschool. Please submit the following information to successfully register. You may also include payment with your registration. Payment is $10 / family. Please make your payment in full by Sunday, October 9, 2016.
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- Are you a registered parishioner of Ss. Robert & William? Yes No
- How many children are you registering? REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Father's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Cell Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Cell Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Child lives with: REQUIRED
  This information helps our catechists be sensitive to the student's home life and needs.
  Please fill out this field.
  
  Medical, physical conditions, special needs, or food allergies?
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Father's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Cell Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Cell Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Child lives with: REQUIRED
  This information helps our catechists be sensitive to the student's home life and needs.
  Please fill out this field.
  
  Medical, physical conditions, special needs, or food allergies?
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Father's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Cell Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Cell Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Child lives with: REQUIRED
  This information helps our catechists be sensitive to the student's home life and needs.
  Please fill out this field.
  
  Medical, physical conditions, special needs, or food allergies?
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Father's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Cell Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Cell Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Child lives with: REQUIRED
  This information helps our catechists be sensitive to the student's home life and needs.
  Please fill out this field.
  
  Medical, physical conditions, special needs, or food allergies?
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Father's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Cell Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Cell Phone REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Child lives with: REQUIRED
  This information helps our catechists be sensitive to the student's home life and needs.
  Please fill out this field.
  
  Medical, physical conditions, special needs, or food allergies?
- Photo Consent
  
  I (we) the parent(s) and/or guardians of my (our) minor (child)ren do hereby consent and authorize the release, publication, dissemination, distribution, use, and/or reproduction of any and all photographs taken of my(our) daughter(s)/son(s) during his/her enrollment at SS Robert & William Parish School of Religion by an employee, agent or representative of SS Robert & William Parish School of Religion or an independent contractor.
  
  This Release and Authorization acknowledges that all photographic proofs, photographic negatives, positives and prints shall constitute the property of SS Robert & William Parish School of Religion and may be used by SS Robert & William Parish School of Religion for any purpose determined at its discretion without further notice or any compensation to me or to my daughter(s)/son(s).
  
  Photo Release Consent REQUIRED I Agree to the Photo Release Terms I Do Not Agree to the Photo Release Terms Please fill out this field.
- Emergency Medical Contact
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to family REQUIRED Please fill out this field. Please enter valid data.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Secondary Number Maximum 20 characters Please enter a phone number.
- Sunday Preschool Payment10.0
Total:

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Ss. Robert & William Catholic Parish

367 E. 260th St., Euclid, Oh. 44132 | 216.731.1515

Register for Sunday Preschool