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Mar Zaia Cathedral

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Mar Zaia Children's Ministry School Registration

Parent First Name*

Parent Last Name

Parent Cell Phone Number*

Parent Email*

1st Child's Name*

1st Child's Birthday*

2nd Child's Name

2nd Child's Birthday

3rd Child's Name

3rd Child's Birthday

Food Allergies?

If any of your kids have Food Allergies please indicate it here.

Emergency Contact Name

Emergency Contact Number

Registration Fee*

1 Kid$75

2 Kids$150

3 Kids$225

© Copyright 2020 by

St. Zaia Cathedral

Contact Us

Tel: (209) 526-2860

Email: info@marzaiacathedral.org

Address

1457 Mable Ave.

Modesto, CA 95355

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