Religious Education Registration Form

Thank you for taking the time to register you child(ren) for Religious Education. Please fill out the form as completely as possible and then click submit or you may download the form here and drop it off at the Parish Office.

Primary Data
Family Last Name
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Mother's Maiden Name
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Mother/Stepmother Name:
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Father/Stepfather Name
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E-mail
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Phone --
  •  
Emergency Contact (Other than Parent):
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Emergency Contact Phone --
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Child #1
Name
  •  
Grade
  •  
Sex
  •  
Date of Birth //
  •  
City/State of Birth
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Baptism
  •  
Date of Baptism //
  •  
Church of Baptism
  •  
City/State of Baptism
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First Reconciliation
  •  
Date of First Reconciliation //
  •  
Church of First Reconciliation
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City/State of First Reconciliation
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First Communion
  •  
City/State of First Communion
  •  
Date of First Communion //
  •  
Church of First Communion
  •  
Confirmation
  •  
Date of Confirmation //
  •  
Church of Confirmation
  •  
City/State of Confirmation
  •  
Child #2
Name
  •  
Grade
  •  
Sex
  •  
Date of Birth //
  •  
City/State of Birth
  •  
Baptism
  •  
Date of Baptism //
  •  
Church of Baptism
  •  
City/State of Baptism
  •  
First Reconciliation
  •  
Date of First Reconciliation //
  •  
Church of First Reconciliation
  •  
City/State of First Reconciliation
  •  
First Communion
  •  
Date of First Communion //
  •  
Church of First Communion
  •  
City/State of First Communion
  •  
Confirmation
  •  
Date of Confirmation //
  •  
Church of Confirmation
  •  
City/State of Confirmation
  •  
Child #3
Name
  •  
Grade
  •  
Sex
  •  
Date of Birth //
  •  
City/State of Birth
  •  
Baptism
  •  
Date of Baptism //
  •  
Church of Baptism
  •  
City/State of Baptism
  •  
First Reconciliation
  •  
Date of First Reconciliation //
  •  
Church of First Reconciliation
  •  
City/State of First Reconciliation
  •  
First Communion
  •  
Date of First Communion //
  •  
Church of First Communion
  •  
City/State of First Communion
  •  
Confirmation
  •  
Date of Confirmation //
  •  
Church of Confirmation
  •  
City/State of Confirmation
  •  
Child #4
Name
  •  
Grade
  •  
Sex
  •  
Date of Birth //
  •  
City/State of Birth
  •  
Baptism
  •  
Date of Baptism //
  •  
Church of Baptism
  •  
City/State of Baptism
  •  
First Reconciliation
  •  
Date of First Reconciliation //
  •  
Church of First Reconciliation
  •  
City/State of First Reconciliation
  •  
First Communion
  •  
Date of First Communion //
  •  
Church of First Communion
  •  
City/State of First Communion
  •  
Confirmation
  •  
Date of Confirmation //
  •  
Church of Confirmation
  •  
City/State of Confirmation
  •  
Security
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