• • Parent/Guardian 1 Name *
    
    First
    
    Last
• • Parent/Guardian 2 Name
    
    First
    
    Last
• • Street Address
    
    
• • City
    
    
• • Zip Code
    
    
• • Home Phone *
    
    
    
    
    
    
• • Cell Phone
    
    
    
    
    
    
• • Work Phone
    
    
    
    
    
    
• • Primary Email *
    
    
• • Are you willing to help with St. Anne's Church School this year?
    YES, I would like to teach a class.
    YES, I would like to assist in class.
    YES, I would like to serve as a substitute.
    
• • Name of person who wants to help:
    
    

• • ---

• • Authorization to publish your child's photograph
    Yes
    No
    

• • ---

• • Child #1 Name
    
    First
    
    Last
• • Child #1 Date of Birth
    
    
• • Child #1 Grade (Fall 2012)
    ...Catechesis of the Good Shepherd Montessori-based curriculum (age 3-Kindergarten)Weaving God's Promises (age 3-Kindergarten)Grade 1Grade 2Grade 3Grade 4Grade 5
    
• • Child #1 Health Concerns, Special Needs, Allergies
    
    

• • ---

• • Child #2 Name
    
    First
    
    Last
• • Child #2 Date of Birth
    
    
• • Child #2 Grade (Fall 2012)
    ...Catechesis of the Good Shepherd Montessori-based curriculum (age 3-Kindergarten)Weaving God's Promises (age 3-Kindergarten)Grade 1Grade 2Grade 3Grade 4Grade 5
    
• • Child #2 Health Concerns, Special Needs, Allergies
    
    

• • ---

• • Child #3 Name
    
    First
    
    Last
• • Child #3 Date of Birth
    
    
• • Child #3 Grade (Fall 2012)
    ...Catechesis of the Good Shepherd Montessori-based curriculum (age 3-Kindergarten)Weaving God's Promises (age 3-Kindergarten)Grade 1Grade 2Grade 3Grade 4Grade 5
    
• • Child #3 Health Concerns, Special Needs, Allergies
    
    

• • ---

• • Child #4 Name
    
    First
    
    Last
• • Child #4 Date of Birth
    
    
• • Child #4 Grade (Fall 2012)
    ...Catechesis of the Good Shepherd Montessori-based curriculum (age 3-Kindergarten)Weaving God's Promises (age 3-Kindergarten)Grade 1Grade 2Grade 3Grade 4Grade 5
    
• • Child #4 Health Concerns, Special Needs, Allergies
    
    
• • Any Special Notes or Comments
    
    

NOTE: Do Not Alter These Fields: