St.
Margaret of August
3-7 9:00
am until 12:00
“Crocodile Dock”
Children ages 4 years old
and older
(4 years old by Jan. 1, 2009)
$15.00 per
child *please attach check to
registration form below
For More Information contact – Religious Ed. Office at
412 921-1613 or smosdre@gmail.com
Keep
this top section as a reminder of
ï+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Deposit form with fee attached in church collection basket or mail to:
St. Margaret of
Child’s Name Age &
Birthdate Grade completed
_______________________________ _____ __/__/__ Grade _____
_______________________________ _____ __/__/__ Grade _____
Parent/Guardian
_______________________ Ph. ____________ Emerg.Ph _____________
Home address
______________________________________________________________
Allergies or other medical
concerns _____________________________________________
Persons authorized to pick
up your child/ren __________________________
___________
Name Phone
Family email address
___________________________________________
We cannot release your child
to anyone other than those named above.
Volunteer/Donate please ƒ
____ Aide ____
Crafts ____ Decorating Team ____ Snack Donation
____ Child care ____Youth Aide ____Teacher ____ Other