Religious Education Registration
In order to complete the registration for your child, you must complete the following steps:

1. Complete Registration Form
2. Complete Medical Treatment Form, print, sign and turn in to parish office
3. Make a down payment on tuition to secure your child's seat in class

Email address *
Child's Information
First Name of Child *
Child's Middle Name *
Last Name of Child *
Child's Birthdate *
MM
/
DD
/
YYYY
Child's School *
Was the child enrolled in a Religious Education program last year? *
Required
If yes, where? *
Day Preference *
Grade Preference *
Please indicate the day you prefer to attend class and the grade the child is entering. Please note that the Tuesday - Grade 6 class is closed.
With whom does child reside? *
Current Parish *
Please inform of us any special needs your child may have:
Contact Information
Street Address *
City *
Zip Code *
Phone Number *
(Notify us of any changes)
Cell Phone number that will have the "Remind" application on it:
E-mail *
Parents' Information
Last Name of Parents (if different from child's)
Father's Name *
Father's Religion *
Father's Cell Phone Number
Mother's Name *
Mother's Religion *
Mother's Cell Phone Number
Mother's Maiden Name *
Marital Status *
Emergency Contacts
First Emergency Contact *
First Emergency Contact Phone Number *
Second Emergency Contact *
Second Emergency Contact Phone Number *
Child's Sacramental Information
Sacraments Completed *
For each sacrament completed, please indicate year and parish below.
Yes
No
Baptism
Communion
Reconciliation
Confirmation
Baptism - Year
Baptism - Parish
Please include name of parish and city
Communion - Year
Communion - Parish
Please include name of parish and city
Reconciliation - Year
Reconciliation - Parish
Please include name of parish and city
Confirmation - Year
Confirmation - Parish
Please include name of parish and city
I would like to help during Religious Education:
Please check any that apply
Parental Faith Commitment
I understand by registering my child for Religious Education Classes that my parental responsibilities include:
1. Attendance at Sat./Sun. Mass at St. Peter Church with my child.
2. At home assistance with prayer memorization.
3. At home assistance with Sacrament preparation.
4. Non-compliance with any of the above may be cause for dismissal from the Program and/or non-admittance to Program the following year.

I grant my permission for photographs of my child to be used by the Religious Education Program for the 2018 - 2019 school year. All pictures will remain anonymous.

Please type your full name below. *
By typing your name, you agree to abide by the above statements and permissions.
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