2025-2026 CCD Registration – Holy Family Catholic Church

Father's Name *

First

Last

Father's Address *

Father's Phone Number *

Father's Email *

Mother's Name *

First

Last

Mother's Address

Leave blank if same as father's address

Mother's Phone Number *

Mother's Email *

Child 1 Name *

First

Last

Child 1 Grade for 25-26 *

Child 2 Name

First

Last

Child 2 Grade for 25-26

Child 3 Name

First

Last

Child 3 Grade for 25-26

Child 4 Name

First

Last

Child 4 Grade for 25-26

I give permission to use my child/children's photo of church events/activities for commercial purposes (ex: advertising on web, etc) *

Signature *

By typing your name you agree to the information completed on this form.

Name