Middle School Registration

Child's First Name

School Child Attends

Child's Last Name

Child's Date of Birth

Mother's Name

Father's Name

Parent's Primary Email

Mother's Phone

Father's Phone

Parent's Secondary Email

Home Address

What parish are you registered at?

Emergency Contact's Name

Emergency Contact's Phone

List any special considerations or medical conditions:

List any allergies:

List any custodial issues we should be aware of:

Policy Agreements

I accept the Media Release Policy. View policy

Select Your Child's Registration Below

Middle School - Registration - $110

Middle School - Child of Catechist Registration - $40

Middle School - Half Scholarship (Requires Previous Approval) - $55

Middle School - Full Scholarship (Requires Previous Approval) - $5

* Early Bird Rate ends June 30th

The Full Rate of $110 begins July 1st

* Refunds can only be issued two weeks prior to the first Middle School Ablaze

Last day for a refund will be Wednesday, August 21st

Thanks for registering! You should receive a confirmation email.

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