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Confirmation 1 Registration
Registration 2018-2019 Please fill out for each child.
Registration Fee: $80.00 per student PLEASE MAKE CHECK PAYABLE TO: Saint Gregory the Great Church

Payments can be dropped off at the Office or placed in the Collection Basket in an envelope marked "Religious Formation."

Student Last Name *
Your answer
Student First Name *
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
*
Student School *
Your answer
Student Grade in September 2018 *
Your answer
Please provide a mailing address, Number and Street *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Does your child have any allergies? Please list type *
Your answer
Instructions regarding allergies
Your answer
Does you child have an IEP? *
Special Needs and Classroom Considerations
Your answer
If your child was baptized at St. Gregory the Great, please provide month and year
Your answer
New Student: What parish was your child baptized in? Please provide copy of Baptismal Certificate and First Eucharist Certificate to office.
Your answer
If your teen attended Religious Education at another Parish, please give us name of parish and include address.
Your answer
Photo-Electronic Media Release: pictures and videos of my child may be published by St Gregory parish or used for informational or educational purposes.
Mother's Name *
Your answer
Maiden Name
Your answer
Mother's Home Phone *
Your answer
Mother's Cell Phone *
Your answer
Religion
Your answer
Mother's Email Address *
Your answer
Father's Name *
Your answer
Father's Home Phone *
Your answer
Father's Cell Phone *
Your answer
Religion
Your answer
Family email we can use
Your answer
In case of emergency if we are unable to contact you, please indicate the person we should contact *
Your answer
Relationship
Your answer
Phone *
Your answer
All Students will Participate in the Following through this year
Teen Masses: Students participate in all asects of Mass, Dates will be announced.
Retreats Dates wo;; be announced.
Please choose day of class
Are you a registered member of the parish?
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