RELIGIOUS ED REGISTRATION FORM

Are you a current family in our program or are you a new family?

Current Family

New Family

If you are a new family, you must register with the Parish Rectory.

I need to register with the Parish Rectory

I am already registered with the Parish Rectory

Parent/Guardian Email

Mother's Full Name

Mother's Phone Number

Father's Full Name

Father's Phone Number

If parents are divorced/separated please list Custodial Parent Full Name

Parent/Guardian Phone

Street Address

City

Number of Children Registering

Please select your Session preference

8:30am - 9:45am

10:15am - 11:30am

Are any of your children receiving the below sacraments?

First Communion

Confirmation

Not Applicable

Emergency Contact #1 Name

Emergency Contact #1 Phone Number

Release Form: For safety, children will only be released to authorized adults listed above. Notify us in writing of any pickup changes. Please note if your child may leave with a sibling, wait outside, or has restrictions on who may pick them up.

Please type your name below. By signing below, you are affirming all the above information is correct.

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RELIGIOUS EDUCATION REGISTRATION FORM