Friends of Father Judge High School

Thank you for supporting the

Father Judge Parents Association

Qty

Description

Amount

Total

Mother & One Son

$100.00

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Additional Son(s)

$30.00

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Total: $0.00

REGISTRATION INFORMATION

Mother's Name: *

(Please allow us to honor you if you are a Guardian, Grandmother, Aunt, Older Sister/Sibling)

Oldest/Only Student's Name: *

Oldest/Only Student's Section #: *

(For example: A1, B3, C5, D8)

Oldest/Only Student's Lunch Period: *

Additional Student/Son Name:

Email: *

Cell Phone:

Seating Options (Please Select One)

If you have a total group of 10 people that would like to be seated together

Please Designate a "Table Captain"

Table Captain Cell Phone

Please assign me with other couples in my son’s grade

Student's Grade

Please assign me with other couples in my son’s sport/club/activity

Student's Sport/Club/Activvity

Payer Information

First Name: *

Last Name: *

Billing Address: *

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Email: *

A receipt will be e-mailed to this address.

Telephone: *

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *