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• Religious Ed Registration

  The maximum number of form submissions has been reached. This form is currently not available.

  • Family's Last Name Please enter valid data.
  • Father's Name Please enter valid data.
  • Mother's Name Please enter valid data.
  • Maiden Name Please enter valid data.
  • Street Address Please enter valid data.
  • City REQUIRED Please fill out this field. Please enter valid data.

    State REQUIRED AK AL AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Please fill out this field.

    Zip REQUIRED Please fill out this field. Please enter a zip code.
  • Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  • Email REQUIRED Please fill out this field. Please enter an email address.
  • • Students registering for Religious Education REQUIRED Please fill out this field.
    • Student 1
      • Child lives with Both parents Mother Father Other
      • 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 of Birth REQUIRED Please fill out this field. Please enter a date.
      • Age Please enter an integer (number).
      • Grade in the Fall Please enter an integer (number).
      • Year of last completed Religious Education Class Please enter an integer (number).
      • Name of Church of last completed Religious Education Class Please enter an integer (number).
      • Has the student received Baptism?

        If yes, year and parish

        Yes No
      • If yes, parish sacrament was received and date Please enter valid data.
      • Has the student received First Reconciliation?

        If yes, year and parish

        Yes No
      • If yes, parish sacrament was received and date Please enter valid data.
      • Has the student received First Communion?

        If yes, year and parish

        Yes No
      • If yes, parish sacrament was received and date Please enter valid data.
      • All children must be signed in & out of class. I authorize the following adult(s) to drop off/pick up my child
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Phone Number REQUIRED Please fill out this field. Please enter a phone number.
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Phone Number Please enter a phone number.
      • Are you willing to teach or assist in a grade?
    • Student 2
      • Child lives with Both parents Mother Father Other
      • 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 of Birth REQUIRED Please fill out this field. Please enter a date.
      • Age Please enter an integer (number).
      • Grade in the Fall Please enter an integer (number).
      • Year of last completed Religious Education Class Please enter an integer (number).
      • Name of Church of last completed Religious Education Class Please enter an integer (number).
      • Has the student received Baptism?

        If yes, year and parish

        Yes No
      • If yes, parish sacrament was received and date Please enter valid data.
      • Has the student received First Reconciliation?

        If yes, year and parish

        Yes No
      • If yes, parish sacrament was received and date Please enter valid data.
      • Has the student received First Communion?

        If yes, year and parish

        Yes No
      • If yes, parish sacrament was received and date Please enter valid data.
      • All children must be signed in & out of class. I authorize the following adult(s) to drop off/pick up my child
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Phone Number REQUIRED Please fill out this field. Please enter a phone number.
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Phone Number Please enter a phone number.
      • Are you willing to teach or assist in a grade?
    • Student 3
      • Child lives with Both parents Mother Father Other
      • 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 of Birth REQUIRED Please fill out this field. Please enter a date.
      • Age Please enter an integer (number).
      • Grade in the Fall Please enter an integer (number).
      • Year of last completed Religious Education Class Please enter an integer (number).
      • Name of Church of last completed Religious Education Class Please enter an integer (number).
      • Has the student received Baptism?

        If yes, year and parish

        Yes No
      • If yes, parish sacrament was received and date Please enter valid data.
      • Has the student received First Reconciliation?

        If yes, year and parish

        Yes No
      • If yes, parish sacrament was received and date Please enter valid data.
      • Has the student received First Communion?

        If yes, year and parish

        Yes No
      • If yes, parish sacrament was received and date Please enter valid data.
      • All children must be signed in & out of class. I authorize the following adult(s) to drop off/pick up my child
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Phone Number REQUIRED Please fill out this field. Please enter a phone number.
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Phone Number Please enter a phone number.
      • Are you willing to teach or assist in a grade?
    • Student 4
      • Child lives with Both parents Mother Father Other
      • 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 of Birth REQUIRED Please fill out this field. Please enter a date.
      • Age Please enter an integer (number).
      • Grade in the Fall Please enter an integer (number).
      • Year of last completed Religious Education Class Please enter an integer (number).
      • Name of Church of last completed Religious Education Class Please enter an integer (number).
      • Has the student received Baptism?

        If yes, year and parish

        Yes No
      • If yes, parish sacrament was received and date Please enter valid data.
      • Has the student received First Reconciliation?

        If yes, year and parish

        Yes No
      • If yes, parish sacrament was received and date Please enter valid data.
      • Has the student received First Communion?

        If yes, year and parish

        Yes No
      • If yes, parish sacrament was received and date Please enter valid data.
      • All children must be signed in & out of class. I authorize the following adult(s) to drop off/pick up my child
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Phone Number REQUIRED Please fill out this field. Please enter a phone number.
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Phone Number Please enter a phone number.
      • Are you willing to teach or assist in a grade?
    • Student 5
      • Child lives with Both parents Mother Father Other
      • 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 of Birth REQUIRED Please fill out this field. Please enter a date.
      • Age Please enter an integer (number).
      • Grade in the Fall Please enter an integer (number).
      • Year of last completed Religious Education Class Please enter an integer (number).
      • Name of Church of last completed Religious Education Class Please enter an integer (number).
      • Has the student received Baptism?

        If yes, year and parish

        Yes No
      • If yes, parish sacrament was received and date Please enter valid data.
      • Has the student received First Reconciliation?

        If yes, year and parish

        Yes No
      • If yes, parish sacrament was received and date Please enter valid data.
      • Has the student received First Communion?

        If yes, year and parish

        Yes No
      • If yes, parish sacrament was received and date Please enter valid data.
      • All children must be signed in & out of class. I authorize the following adult(s) to drop off/pick up my child
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Phone Number REQUIRED Please fill out this field. Please enter a phone number.
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Phone Number Please enter a phone number.
      • Are you willing to teach or assist in a grade?
    • Student 6
      • Child lives with Both parents Mother Father Other
      • 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 of Birth REQUIRED Please fill out this field. Please enter a date.
      • Age Please enter an integer (number).
      • Grade in the Fall Please enter an integer (number).
      • Year of last completed Religious Education Class Please enter an integer (number).
      • Name of Church of last completed Religious Education Class Please enter an integer (number).
      • Has the student received Baptism?

        If yes, year and parish

        Yes No
      • If yes, parish sacrament was received and date Please enter valid data.
      • Has the student received First Reconciliation?

        If yes, year and parish

        Yes No
      • If yes, parish sacrament was received and date Please enter valid data.
      • Has the student received First Communion?

        If yes, year and parish

        Yes No
      • If yes, parish sacrament was received and date Please enter valid data.
      • All children must be signed in & out of class. I authorize the following adult(s) to drop off/pick up my child
      • First Name REQUIRED Please fill out this field. Please enter valid data.

        Last Name REQUIRED Please fill out this field. Please enter valid data.
      • Phone Number REQUIRED Please fill out this field. Please enter a phone number.
      • First Name Please enter valid data.

        Last Name Please enter valid data.
      • Phone Number Please enter a phone number.
      • Are you willing to teach or assist in a grade?

  Submit