St. Thomas the Apostle Catholic Church
Registration Form - School of Religious Education (SRE, Edge, Life Teen) 2020-2021
Child/ren's Father's Name
Father's Religion
Father's Cell/Daytime Phone (include area code)
Father's Email
Child/ren's Mother's Name
Mother's Religion
Mother's Cell/Daytime Phone (include area code)
Mother's Email
Street Address
City, State, Zip
Home Telephone (include area code)
Children reside with
If other, please list:
Emergency Contact Name (someone other than parent/guardian)
Emergency Contact Relationship
Emergency Contact Phone Number (include area code)
Were your children registered in this program last year?
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Child #1's Full Name (first, middle, last)
Child #1's Date of Birth
MM
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DD
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YYYY
Child #1's Gender
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If child #1 has a personal cell number, enter it here
If child #1 has a personal email address, enter it here
Does child #1 have any allergies, medications or other pertinent physical information we should know about? Also, please list any learning disabilities, emotional or psychological problems we should be aware of. If none, type "none".
Child #1's Grade as of 8/2020
Child #1's Name of School
Has Child #1 been Baptized?
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If yes, what date?
Has Child #1 made First Communion?
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If yes, what date?
Has child #1 been Confirmed?
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If yes, what date?
Child #2's Full Name (first, middle, last)
Child #2's Date of Birth
MM
/
DD
/
YYYY
Child #2's Gender
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If child #2 has a personal cell number, enter it here
If child #2 has a personal email address, enter it here
Does child #2 have any allergies, medications or other pertinent physical information we should know about? Also, please list any learning disabilities, emotional or psychological problems we should be aware of. If none, type "none".
Child #2's Grade as of 8/2020
Child #2's Name of School
Has Child #2 been Baptized?
Clear selection
If yes, what date?
Has Child #2 made First Communion?
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If yes, what date?
Has child #2 been Confirmed?
Clear selection
If yes, what date?
Child #3's Full Name (first, middle, last)
Child #3's Date of Birth
MM
/
DD
/
YYYY
Child #3's Gender
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If child #3 has a personal cell number, enter it here
If child #3 has a personal email address, enter it here
Does child #3 have any allergies, medications or other pertinent physical information we should know about? Also, please list any learning disabilities, emotional or psychological problems we should be aware of. If none, type "none".
Child #3s Grade as of 8/2020
Child #3's Name of School
Has Child #3 been Baptized?
Clear selection
If yes, what date?
Has Child #3 made First Communion?
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If yes, what date?
Has child #3 been Confirmed?
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If yes, what date?
Child #4's Full Name (first, middle, last)
Child #4's Date of Birth
MM
/
DD
/
YYYY
Child #4's Gender
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If child #4 has a personal cell number, enter it here
If child #4 has a personal email address, enter it here
Does child #4 have any allergies, medications or other pertinent physical information we should know about? Also, please list any learning disabilities, emotional or psychological problems we should be aware of. If none, type "none".
Child #4's Grade as of 8/2020
Child #4's Name of School
Has Child #4 been Baptized?
Clear selection
If yes, what date?
Has Child #4 made First Communion?
Clear selection
If yes, what date?
Has child #4 been Confirmed?
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If yes, what date?
I do hereby grant permission to St. Thomas SRE, its administrators, and staff to publish photographs and/or videos that may include images of my child(ren) on the parish website, parish Facebook page and in local newspapers.
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