Religious Education Registration

Last Name REQUIRED Please fill out this field. Please enter valid data.

Street Address Line 1 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.

PARENT/GUARDIAN INFORMATION

Mother's Full Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Email REQUIRED Please fill out this field. Please enter valid data.

Mother's Cell Phone REQUIRED Please fill out this field. Please enter valid data.

Father's Full Name REQUIRED Please fill out this field. Please enter valid data.

Father's Email REQUIRED Please fill out this field. Please enter valid data.

Father's Cell Phone Please enter valid data.

Would you like to volunteer to teach? REQUIRED Please fill out this field.

Name Please enter valid data.

If your answer is yes, please pick the grade you would like to teach

Section 2: Consent and Payment

Please Note: Registration for Religious Education DOES NOT constitute registration in the parish; nor does registration in a parish automatically constitute registration in religious education.

By registering your child(ren) in our religious education program you give us permission for their image to be used in photographs, videos, etc. for religious education and/or parish events. I agree

Number of Students You Are Registering REQUIRED Please fill out this field.
Student 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date & Place of Birth REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field.
- Sacramental Information REQUIRED Baptism Please fill out this field.
- Church & Date REQUIRED Please fill out this field. Please enter valid data.
- Sacramental Information First Communion
- Church & Date Please enter valid data.
- Name of School REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field.
- Medical issues we should be aware of
- Behavioral and/or Educational Needs
Student 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date & Place of Birth REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field.
- Sacramental Information REQUIRED Baptism Please fill out this field.
- Church & Date REQUIRED Please fill out this field. Please enter valid data.
- Sacramental Information First Communion
- Church & Date Please enter valid data.
- Name of School REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field.
- Medical issues we should be aware of
- Behavioral and/or Educational Needs
Student 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date & Place of Birth REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field.
- Sacramental Information REQUIRED Baptism Please fill out this field.
- Church & Date REQUIRED Please fill out this field. Please enter valid data.
- Sacramental Information First Communion
- Church & Date Please enter valid data.
- Name of School REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field.
- Medical issues we should be aware of
- Behavioral and/or Educational Needs
Student 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date & Place of Birth REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field.
- Sacramental Information REQUIRED Baptism Please fill out this field.
- Church & Date REQUIRED Please fill out this field. Please enter valid data.
- Sacramental Information First Communion
- Church & Date Please enter valid data.
- Name of School REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field.
- Medical issues we should be aware of
- Behavioral and/or Educational Needs
Student 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date & Place of Birth REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Please fill out this field.
- Sacramental Information REQUIRED Baptism Please fill out this field.
- Church & Date REQUIRED Please fill out this field. Please enter valid data.
- Sacramental Information First Communion
- Church & Date Please enter valid data.
- Name of School REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field.
- Medical issues we should be aware of
- Behavioral and/or Educational Needs

Registration Fees REQUIRED

30.0 – 1 Child

60.0 – 2 Children

90.0 – 3 Children Please fill out this field.

Religious Education Registration

Catholic School Students (Grade 2 and 10 Only)

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