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#1 - 20/21 Registration - Family Contact Information Form

Please complete the form below.

In the case of biological parents who do not live at the same residence, this form may be completed and submitted by each parent separately if needed.

Required fields marked with an asterisk *

Dad's Contact Information

Dad's Marital Status:
Please list Dad's marital status as it pertains to the children on this form.
Answer Required
State
Answer Required
Has Dad taken Protecting God's Children?
Answer Required

Mom's Contact Information

Mom's Marital Status
Please list Mom's marital status as it pertains to the children on this form.
Answer Required
State
Answer Required
Has Mom taken Protecting God's Children?
Answer Required
Student #1 Gender*
Answer Required
Student #1 2020-2021 Grade Level or Preschool Program*
Preschool programs at the bottom of the list.
Answer Required
Student #1 Ethnicity
Answer Required
Student #2 Gender
Answer Required
Student #2 2020-2021 Grade Level or Preschool Program
Preschool programs at the bottom of the list.
Answer Required
Student #2 Ethnicity
Answer Required
Student #3 Gender
Answer Required
Student #3 2020-2021 Grade Level or Preschool Program
Preschool programs at the bottom of the list.
Answer Required
Student #3 Ethnicity
Answer Required
Student #4 Gender
Answer Required
Student #4 2020-2021 Grade Level or Preschool Program
Preschool programs at the bottom of the list.
Answer Required
Student #4 Ethnicity
Answer Required
Student #5 Gender
Answer Required
Student #5 2020-2021 Grade Level or Preschool Program
Preschool programs at the bottom of the list.
Answer Required
Student #5 Ethnicity
Answer Required
Public School District in which above students have primary residence:*
Information needed for state reporting.
Answer Required

In the case of divorced or separated parents, ICD school must have a copy of your parenting plan and/or custody arrangement on file.  ICD school must adhere to the guidelines set forth in these court documents as it pertains to the release of your children to custodial and non-custodial parents and guardians.

Per Parenting Plan - Primary Custodial Parent is:
Answer Required
May children listed above be released to Non-Custodial Parent?
Answer Required
Does Non-Custodial Parent need all school related correspondence?
Answer Required
Confirmation Email