Religious Education Enrollment 2018-2019 Church of the Holy Cross, Overland Park, KS
We are pleased to have your student enroll in our parish Religious Education program for the coming year. Please provide us the information below.

If you have any questions, contact Robert Bacic [rbacic@holycrossopks.org, (913) 381-2755, 111] or Patricia Argueta (se habla español) [pargueta@holycrossopks.org, (913) 381-2757, 117]. Our mailing address is: 8311 W. 93rd St., Overland Park, KS 66212.

Thank you for being a part of our program!

Which Religious Education Program do you want to enroll in?
Student Last Name *
Your answer
Student First Name *
Your answer
Student Middle Name
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Student Grade Level (2018-2019 School Year) *
Your answer
Is the Student Baptized? *
Date of Baptism
MM
/
DD
/
YYYY
Is the Baptismal Certificate on file at Holy Cross?
If no, what is the name of Church of Baptism?
Your answer
City, State, Country
Your answer
Received First Reconciliation *
Received First Communion *
Date of First Communion
MM
/
DD
/
YYYY
Name of Church
Your answer
City, State, Country
Your answer
Does the Student Wish to Receive the Sacrament of Confirmation? (Students must be in the 7th Grade or older. This is a two-year program)
Student's Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Mother's Full Name
Your answer
Mother's Address (If Different from Student's Address)
Your answer
Mother's Phone Number
Your answer
Can this phone number receive texts?
Email
Your answer
Language Preference
Father's Full Name
Your answer
Street Address (If Different)
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Father's Phone Number
Your answer
Can this Phone Number Receive Texts?
Email
Your answer
Language Preference
Child Lives With ... *
Required
In which parish are you registered?
Your answer
Emergency Contact Name (Name of a local friend/relative not at same address) *
Your answer
Emergency Contact Phone Number *
Your answer
Please list who is allowed to pick up your child from class. *
Your answer
On occasion photos may be taken during/for our Religious Education program. These photos are used for promotional materials or for presentations. Do we have your permission to take your child's photograph for these reasons? *
ENROLLMENT FEES
1 Child - $90
2 Children - $145
3 Children - $165

Enrollment fees are due within seven days of registration.

Enrollment Fee Amount Paid
Your answer
Enrollment Fee Amount Due *
Your answer
Payment Type *
Comments
Your answer
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