St. John the Evangelist (Pawling, NY)
St. Charles Borromeo (Dover Plains, NY)

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Roots & Wings Registration Form

- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name 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.
- Best Contact Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- In the event of winter program cancellations, how is it best to contact you? REQUIRED Email Text via Cell Phone Call to your home landline Please fill out this field.
- Please confirm this method of contact by adding your email or phone contact below REQUIRED Please fill out this field. Please enter valid data.
- Child's Full Name REQUIRED Please fill out this field. Please enter valid data.
- Child's Date of Birth REQUIRED Please fill out this field. Please enter a date.
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