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Family Name: (required)

Total # of Children Enrolled

Father's Religion

Mother's Religion

If Catholic, name of parish you attend

Child lives with:
Both parentsMother onlyFather onlyMother & stepfatherFather & stepmotherOther

If other:

Check as applicable:
Parents separatedParents divorcedMother remarriedFather remarriedMother deceasedFather deceased

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[multistep multistep-enroll-prek "/enrollment-form-4"]

[group group-k8]
[multistep multistep-enroll-k8 "/enrollment-form-4"]
[/group]