PREP Registration Form - 2024/2025

Please fill out (1) registration form for EACH STUDENT attending PREP and click submit. After registration is received, an invoice will be sent per family via PayPal. Please mark N/A for any field that does not need a response.

Student's Name

Student's Gender

Please select one option.

Female Male

Student's Race

Please select one option.

Non-Hispanic/Latino Hispanic/Latino

Student's Ethnicity

Please select all that apply.

American Indian/Native Alaskan Asian Black/African American Native Hawaiian/Pacific Islander Two or More Races White Other Prefer not to Answer

Birthdate

Name of School

Fall School Year Grade

Please select one option.

1 2 3 4 5 6 7 8

Fall PREP Year Grade

Please select one option.

1 2 3 4 5 6 7 8

Class Session

Please select one option.

Sunday Morning (9:15-10:45am) Tuesday Evening (6:15-7:45pm) Home-Study

Has your Child been Baptized

Please select one option.

Yes No

Baptism Certificate

Upload (8MB)

Are there any medical conditions (if yes, please identify)

Are there any learning support or disabilities (if yes, please identify)

Are Vaccinations up to Date

Please select one option.

Yes No

Emergency Contact Name

Emergency Contact Phone

Address

Guardians Information

Father's First Name

Father's Last Name

Father's Email

This address will receive a confirmation email

Father's Mobile Phone

Father's Religion

Mother's First Name

Mother's Last Name

Maiden Name

Mother's Email

This address will receive a confirmation email

Mother's Mobile Phone

Mother's Religion

Is your Family Registered at St. Peter Church

Please select one option.

Yes No

Are there any Custody/Legal Issues

Please select one option.

No Yes

I grant Permission for my Child's Picture to Appear in Social Media in Relation to Events at the Parish

Please select one option.

Yes No

Would you like to Volunteer at PREP

Please select one option.

Yes No

PREP Registration Form - 2024/2025

Description

Please Fix the Following