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Holy Family Atrium - Catechesis of The Good Shepherd Registration

- Growing in Faith
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    Holy Family Atrium - Catechesis of The Good Shepherd Registration
    
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Application for the Holy Family Atrium - Catechesis of The Good Shepherd 2025/26
at St. Joseph Catholic Church, Otis Orchards, WA
Fee: $60 per child
This form is not accepting responses at this time.
- Child's Name REQUIRED Please fill out this field. Please enter valid data.
- Nickname Please enter valid data.
- Birthday REQUIRED
  Age as of Sept. 1, 2025
  Please fill out this field. Please enter valid data.
- Previous Atrium or Montessori Experience Please enter valid data.
- School Please enter valid data.
- Allergy/Medical/Special Needs Information
- Additional information that might assist us in working with your child
- Parent/Guardian 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mobile Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Text Messages Okay? REQUIRED Yes No Please fill out this field.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
- Parent/Guardian 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Mobile Phone Number Maximum 20 characters Please enter a phone number.
  
  Text Messages Okay? Yes No
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Email Please enter an email address.
- Emergency Contact
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mobile Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Relationship to the Child REQUIRED Please fill out this field. Please enter valid data.
- Other adults who are approved to pick up your child beside the listed parents/guardians Please fill out this field.
  
  Adult 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mobile Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Relationship to the Child REQUIRED Please fill out this field. Please enter valid data.
  
  Adult 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mobile Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Relationship to the Child REQUIRED Please fill out this field. Please enter valid data.
  
  Adult 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mobile Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Relationship to the Child REQUIRED Please fill out this field. Please enter valid data.
  
  Adult 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mobile Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Relationship to the Child REQUIRED Please fill out this field. Please enter valid data.
  
  Adult 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mobile Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Relationship to the Child REQUIRED Please fill out this field. Please enter valid data.
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St. Joseph Catholic Parish

4521 Arden Road, Otis Orchards, WA 99027
Phone: 509-926-7133

Holy Family Atrium - Catechesis of The Good Shepherd Registration