ST. ANTHONY CYO REGISTRATION AGREEMENTAnthony Cyo Registration Agreement • September 28th, 2023
Participant’s Name: Birthdate (mm/dd/yyyy): Participant’s School: Religious Ed Program (If not attending St. Anthony School): Grade: Purchase Own, Jersey No. Uniform Size:Youth: Adult: For BASKETBALL or VOLLEYBALL: If purchasing, provide 3 Jersey Nos. in preferred order: 1) 2) 3) Father’s Name/Legal Guardian: Home Phone: Cell Phone: e-mail address: Father’s Home Address: Mother’s Name/Legal Guardian: Home Phone: Cell Phone: e-mail address: Mother’s Home Address: (If different from above) Emergency Contact (if a parent is unavailable): Home Phone: Cell Phone: Relationship:
