Child Two Registration Supplement 2023/2024

Due to a technical issue, we are asking parents to complete these additional fields for their second child. Thank you for your time!
Family Information
FAMILY NAME*
Second Child
Child's Name*
First Middle Last
All Information will be kept CONFIDENTIAL
Please indicate any specific circumstances, learning disabilities, or medical disabilities your child may have. It is imperative our teachers be informed of your child's needs.
Allergies (Child Two)*
Does your child have food, insect or chemical allergies? (We will do what we can, but your child should know what he/she can or cannot eat).
Please describe your allegies (Child Two)*
Does your child have any special medical or medicine needs? (Child Two)*
Please describe your special medical or medicine needs (Child Two)*
Does your child use an EpiPen? (Child Two)*
If your child uses an EpiPen a parent must stay in the building or classroom. (We do not have a nurse on duty and therefore we can only dispense bandaids).
Special Needs (Child Two)*
Does your child have an IEP? (Individual Education Program)
Does your child have a full-time aide in school? (Child Two)*
Is your child on any medications? (Child Two)*
What medications? (Child Two)*
Is your child protected by a restraining order? (Child Two)*
If so, please write the information necessary to fulfill this decree (Child Two)*
Is your child mentioned in a child custody agreement? (Child Two)*
If Yes, who is allowed to pick up your child? (Child Two)*
Is there anything else we need to know about your child in order to have a safe and productive environment for him/her? (Child Two)
Phone
This field is for validation purposes and should be left unchanged.

Child Two Registration Supplement 2023/2024

Family Information

Second Child

All Information will be kept CONFIDENTIAL

Church of the Assumption

Mass Times

Weekend Schedule

Daily (Monday – Saturday)

Reconciliation