2017-18 Registration for Family Catechesis
Please fill in the form below to register your family for the 2017-18 Family Catechesis program at the Church of Saint Agnes.

***REGISTRATION OPENS August 1 and closes September 12, 2017.

The fee is $40 per student (family maximum if $80) and is payable online by clicking the link provided when you have completed the form.

There are 5 classes for Family Catechesis this year. Your child will be placed in the appropriate class based on your answer to the "Age Group" question below where you indicate their grade in school (or pre-school or High School). The 5 classes break down as follows:

Preschool-Kindergarten
1st - 2nd grades (preparation for First Reconciliation/Communion in the 2nd grade)
3rd - 5th grades
6th - 8th grade (preparation for Confirmation in the 8th grade)
High School (Focused on the New Testament using the Didache text "Faith and Revelation")

Please direct any of your questions to Eileen Mueller at emueller@saintagnesschool.org or 651-925-8896.

Mother's first name *
Your answer
Mother's last name *
Your answer
Mother's cell phone number
Your answer
Father's First Name *
Your answer
Father's Last Name *
Your answer
Father's cell phone number
Your answer
Home Address (Street, City, State, ZIP): *
Your answer
Home phone number
Your answer
Email address (primary contact email for Family Catechesis). You may enter more than one. *
Your answer
Name of parent willing to volunteer for reduced tuition (50%):
Your answer
Emergency contact name (other than parents listed) *
Your answer
Emergency contact phone number *
Your answer
Specify the name of your parish *
Required
Student 1 first name *
Your answer
Student 1 last name *
Your answer
Student 1 Date of Birth *
MM
/
DD
/
YYYY
Indicate Name and Location of Church where Student 1 was Baptized *
Required
Indicate Name and Location of Church where Student 1 recevied First Reconciliation
Indicate Name and Location of Church where Student 1 recevied First Holy Communion
Indicate Name and Location of Church where Student 1 received Confirmation
Age group of Student 1: *
Required
Enter school for Student 1:
Will Student 1 receive any of these sacraments this year?
Student 2 first name
Your answer
Student 2 last name
Your answer
Student 2 Date of Birth
Your answer
Indicate Name and Location of Church where Student 2 was Baptized
Indicate Name and Location of Church where Student 2 received First Reconciliation
Indicate Name and Location of Church where Student 2 received First Holy Communion
Indicate Name and Location of Church where Student 2 received Confirmation
Age group of Student 2:
Enter school for Student 2:
Will Student 2 receive any of these sacraments this year?
Student 3 first name
Your answer
Student 3 last name
Your answer
Student 3 Date of Birth
MM
/
DD
/
YYYY
Indicate Name and Location of Church where Student 3 was Baptized
Indicate Name and Location of Church where Student 3 received First Reconciliation
Indicate Name and Location of Church where Student 3 received First Holy Communion
Indicate Name and Location of Church where Student 3 received Confirmation
Age group of Student 3:
Enter school for Student 3:
Will Student 3 receive any of these sacraments this year?
Student 4 first name
Your answer
Student 4 last name
Your answer
Student 4 Date of Birth
MM
/
DD
/
YYYY
Indicate Name and Location of Church where Student 4 was Baptized
Indicate Name and Location of Church where Student 4 received First Reconciliation
Indicate Name and Location of Church where Student 4 received First Holy Communion
Indicate Name and Location of Church where Student 4 received Confirmation
Age group of Student 4:
Enter school for Student 4:
Will Student 4 receive any of these sacraments this year?
Student 5 first name
Your answer
Student 5 last name
Your answer
Student 5 Date of Birth
MM
/
DD
/
YYYY
Indicate Name and Location of Church where Student 5 was Baptized
Indicate Name and Location of Church where Student 5 received First Reconciliation
Indicate Name and Location of Church where Student 5 received First Holy Communion
Indicate Name and Location of Church where Student 5 received Confirmation
Age group of Student 5:
Enter school for Student 5:
Will Student 5 receive any of these sacraments this year?
Student 6 first name
Your answer
Student 6 last name
Your answer
Student 6 Date of Birth
MM
/
DD
/
YYYY
Indicate Name and Location of Church where Student 6 was Baptized
Indicate Name and Location of Church where Student 6 received First Reconciliation
Indicate Name and Location of Church where Student 6 received First Holy Communion
Indicate Name and Location of Church where Student 6 received Confirmation
Age group of Student 6:
Enter school for Student 6:
Will Student 6 receive any of these sacraments this year?
Enter any comments or questions here
Your answer
Please specify how you will be paying for Family Catechesis: *
IMPORTANT:
After clicking the "Submit" button, SCROLL UP to the top of the page that appears using the scroll buttons on the far right to see an important message and the credit card payment link!!!!!
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