Parent Data FormEach family participating in either the Turris Eburnea Academy should fill out this form once. Family Name * Name that will be used to identify entire family Father's Name First Name Last Name Father's Phone (###) ### #### Father's Email Mother's Name * First Name Last Name Mother's Maiden Name * Mother's Email * Mother's Phone * (###) ### #### Are you a member of Immaculate Conception Parish, Rapid City? * Yes No If no, please tell us your parish. Emergency Contact Name * First Name Last Name Emergency Contact Phone * (###) ### #### May photos of your child be included in our website or marketing materials? * Yes No Comments, questions? Leave us a message here. Thank you! If you have not done so already, please submit a Student Data Form for each of your children.
