EmailMeForm
The Playroom Registration Form
Questions? Contact playroom@allsaintsdunwoody.org
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CHILD INFORMATION
Complete separate form for each child applying
Name
*
First
Last
Preferred Name
*
Date of Birth
*
MM
/
DD
/
YYYY
* Please double check that you have entered the correct year for your child's birth date.
Gender
*
Please select
Female
Male
Are any of your children currently registered students at the Preschool at All Saints (PAS)?
*
Yes
No
Name(s) of child(ren) registered at PAS
PARENT/GUARDIAN RESIDENCE INFORMATION
Street Address
*
Street Address Line 2
City
*
State
*
Zip
*
Home Phone
*
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Home Email
*
This is the email address we will use for regular communication with you.
Religious Affiliation
*
Please select
Registered All Saints Parishioner
Registered Catholic at another Parish
Other Religious Affiliation
Other Catholic Parish
Other Religious Affiliation
PARENT/GUARDIAN CONTACT INFORMATION
Mother's Name
*
First
Last
Mother's Email
*
Mother's Cell
*
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Mother's Place of Employment
Mother's Work Phone
###
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Father's Name
*
First
Last
Father's Email
*
Father's Cell
*
###
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Father's Place of Employment
Father's Work Phone
###
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SIBLING INFORMATION
1. Sibling Name
First
Last
1. Age as of 5/1/2021
2. Sibling Name
First
Last
2. Age as of 5/1/2021
3. Sibling Name
First
Last
3. Age as of 5/1/2021
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