Saint Theresa of the Infant Jesus Parish

New Cumberland, PA
(717) 774-5918

Register for Preschool

- Parish Life

Saint Theresa of the Infant Jesus Parish Preschool Relgious Education Program 2024-2025 Registration Form
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- Please provide us with the email address and phone number(s) you would like us to use for messages regarding class cancellations and other important class information
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Child's First and Last Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Birth Date REQUIRED Please fill out this field. Please enter a date.
- Special Needs of Child (food allergies, ADHS, etc) Indicate NONE if not applicable REQUIRED Please fill out this field.
- Father's Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Name REQUIRED Please fill out this field. Please enter valid data.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- 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.
- Is your child baptized? REQUIRED Yes No Please fill out this field.
- If your child is new to the program, please submit a copy of the child's baptismal certificate to the Religious Education Office.
- Family Home Parish REQUIRED Please fill out this field.
- If other, provide name/address Please enter valid data.
- Grade level for which you are registering your child REQUIRED Preschool Kindergarten Please fill out this field.
- School attending, if any: Please enter valid data.
- Our program is volunteer-based. I would like to help as a(n) Teacher Aide Substitute Teacher
- Please note that the program is not a babysitting service. Our expectation is that you are attending Mass while your child participates in the preschool program. In the event of an emergency, we may need to reach you quickly. Parents who do not respect this policy will be required to withdraw their child from the program.
- Parent 's signature REQUIRED Please fill out this field. Please enter valid data.
- Date REQUIRED Please fill out this field. Please enter a date.
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