CCD online registration form

- Faith Formation

2016 - 2017 St. Dominic's CCD Registration
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- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Parents/Guardians REQUIRED Please fill out this field. Please enter valid data.
- Mother's maiden's name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- Cell Phone REQUIRED Please fill out this field. Please enter a phone number.
- 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 Please enter an email address.
- Emergency contact and phone REQUIRED Please fill out this field. Please enter valid data.
- Child baptized at St. Dominic's REQUIRED Yes No Please fill out this field.
- If yes, date of baptism; if no, name of Parish REQUIRED Please fill out this field. Please enter valid data.
- Marital Status Married Single
- Names and Grades of Children (Grades 1 through 8)
- Name, Birthday/year, Grade REQUIRED Please fill out this field. Please enter valid data.
- Name, Birthday/year, Grade Please enter valid data.
- Name, Birthday/year, Grade Please enter valid data.
- Name, Birthday/year, Grade Please enter valid data.
- Name, Birthday/year, Grade Please enter valid data.
- CCD begins Sunday, September 11, 2016 from 9:00-10:15 AM. Fee per family is $25.
  Please make your check payable to St. Dominic CCD, and drop it in the collection basket at Mass, or bring it with you when you drop off your children at CCD. You may also send your check to St. Dominic CCD, 77 East Lucius Ave. Youngstown, OH 44507. Questions? Give us a call (330) 783-1900 ext 240, or send an email to mclaireknight@gmail.com.
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St. Dominic Parish

Youngstown, Ohio

CCD online registration form

2016 - 2017 St. Dominic's CCD Registration