Good Shepherd Parish Religious Education
2021-2022 Class Registration
Family Name *
Family Email Primary *
Family Email Secondary (if desired)
Best Phone # to reach family
Mother's Full Maiden Name (needed for child's sacramental records) *
Child 1's Name *
Child 1 Goes by (Nickname)
Grade for Fall 2021
Child 2's Name
Child 2 Goes by (Nickname)
Grade for Fall 2021
Child 3's Name
Child 3 Goes by (Nickname)
Grade for fall 2021
Additional Information to Help Us Support Your Children
E.g., Allergies, Learning Accommodations, etc.
Religious Education Meeting Times Preference *
Required
Please let us know if you family has any special circumstances that it would be helpful for us to know to better meet your needs.
Confirmation families- if you would like your high school child to receive emails about class and other events directly, please include their email below. Parents are always cc'd on communication with minors.
Has any of your family's contact information changed or are you new to our program? *
E.g., Address, Email Address, Phone Number, Emergency Contact, Family Structure, etc.
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