Religious Education Registration Form

Mother’s First Name:
Mother’s Last Name:
Father’s First Name:
Father’s Last Name:
Mailing Address:
Mailing Address:
City: State: Zip Code:
Physical Address:
City: State: Zip Code:
Email Address:
Home Phone #:
Mother’s Cell #:
Father’s Cell #:

First Child

 

Child’s Full Name:
Date of Birth:
Grade Child is entering:
Date of Baptism:
City / State / Country of Baptism:
Date of First Communion:
Has your child received first reconciliation?:
Date of Confirmation:
Prefer classes in person or online?:

 

Second Child

 

Child’s Full Name:
Date of Birth:
Grade Child is entering:
Date of Baptism:
City / State / Country of Baptism:
Date of First Communion:
Has your child received first reconciliation?:
Date of Confirmation:
Prefer classes in person or online?:

 

Third Child

 

Child’s Full Name:
Date of Birth:
Grade Child is entering:
Date of Baptism:
City / State / Country of Baptism:
Date of First Communion:
Has your child received first reconciliation?:
Date of Confirmation:
Prefer classes in person or online?:

 

Any Other Notes: