CARE Registration

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* 1. At which parish is your family registered?

Cathedral Parish of Saint Patrick, Harrisburg, PA

Our Lady of the Blessed Sacrament, Harrisburg, PA

Other (please specify)

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* 2. Family Contact Information- Please list both parents' full names in first box. Please list all email addresses and phone numbers you wish to use for CARE in the assigned fields.

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address *

Phone Number *

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* 3. What is/are the full name(s) of the child(ren) to be enrolled in CARE? Please list each child and their birth date.

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* 4. Where was each child baptized? Please list each child and the location of their baptism.

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* 5. Please list each child and the sacraments they have already received. (Baptism, First Reconciliation, First Holy Communion, Confirmation)

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* 6. Please list each child and their grade level for 2020-21. Also, please note if they will be preparing for First Reconciliation and First Holy Communion, or Confirmation this year. (typically done in 2nd and 8th grades)

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* 7. Does your child/family have any special circumstances? (family, medical, ect.) Please explain.

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* 8. Does your family have the capability to access the internet, print documents, and communicate via Zoom and other online learning platforms?

Yes

No

Other (please specify)

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* 9. Due to the COVID-19 pandemic, all tuition fees have been waived for the 2020-21 academic/catechetical year. Please check 'yes' to acknowledge.

Yes

No

Other (please specify)