St. James, Tupelo MS

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* 1. Are you a REGISTERED parishioner at St. James?

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* 2. Your Family's LAST Name:

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* 3. Father's FIRST Name:

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* 4. Mother's FIRST Name:

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* 5. Best Email to send Faith Formation Notices:

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* 6. Best cell number to text you. (Include area code.)

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* 7. Your mailing address:

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* 8. Enter your children's FIRST NAMES below in the Grade they will enter in the Fall of 2021:

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* 9. If any of your children have health concerns, please list their names(s) and concerns below:

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* 10. I agree to abide by all of the policies in the Parent Handbook (available at www.saint-james.net / Schedule).

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* 11. I permit my children to participate in all activities offered at the regular class times.

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* 12. I will allow my child to attend the Protection of Children Training.

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* 13. I agree to all activity photos and videos of my child/children as they participate in the classroom and parish events. In these images, names and other personal information will NOT be identified, unless further discussed with the parent. The only exception is names being given with pictures as published in the MS Catholic newspaper. I authorize St. James to publish photos that my child/children may appear in via parish and diocesan print and web based media.

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* 14. For my CYO or LIFE TEEN student(s) in grades 8-12, there have been NO changes to emergency contact, medication, medical conditions, or insurance coverage as reported on last year's Form A or Form B.

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* 15. If you answered "No" to Question #14, please indicate what has changed.

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* 16. Did you like using this survey as way to register your children for Faith Formation?

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* 17. Any additional comments please indicate below. Thank you.

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