Divine Mercy

Catholic Church

Religious Education Registration

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Please click here to print the required documents.
- CCD Printable Documents
Religious Education Registration 2017-2018
PreK-4th grade: Sundays 8:30am-9:30am
5th grade-2nd year Confirmation preparation: Sundays 10:00am-11:00am
Meeting Location is at Clovis East High School Mutli-Purpose Room

Class Fees:
One Student: $50; Two Students: $100
Additional Students from the same home: $25 each
(If there is financial hardship, please call Lisa 559-374-2242
Sacramental Preparation
Additional $25 per child (book fee)
Only for 2nd year in Sacramental Preparation
Copy of Baptismal Certificate is due by the 1st class
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 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