Catechesis Registration Form 2016/17
For all three programs at Our Lady of Lourdes and Prince of Peace, including Sacrament Preparation
Student's Legal Name
Your answer
Gender
Student's Nickname
Your answer
Preferred Phone
Your answer
Date of Birth
MM
/
DD
/
YYYY
Grade
Your answer
School Attending
Your answer
Place of Birth (City, State)
Your answer
Mailing Address
Your answer
City
Your answer
State
Your answer
Zipcode
Your answer
Parent's Email Address
Your answer
Father's Name
Your answer
Father's Religion
Your answer
Father's Cell Phone
Your answer
Mother's Name
Your answer
Mother's Maiden Name (Required for all Sacraments)
Your answer
Mother's Religion
Your answer
Mother's Cell
Your answer
or... Legal Guardian's Name
Your answer
Legal Guardian's Religion
Your answer
Legal Guardian's Cell
Your answer
Sacraments Needed This Year
Required
Baptismal or Birth Certificate
First time students, I will need a copy of your Baptismal Certificate turned into the office. For those who are unbaptized, I will need a copy of your Birth Certificate.
I understand that first time students need to bring a copy of their Baptismal certificate to the office for Will. Or a birth certificate if Baptism is needed.
Required
Please describe previous Religious Education experience.
Your answer
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