Religious Education Re-Enrollment Form
Please complete this form to reserve your child's spot in our Religious Education Programs for the 2018-2019 school year.

Summer Religious Education Weekly Religious Education
Monday- Friday Sundays
June 18-29, 2018 September - April
9:00 AM-12:30 PM* 10:45 AM - 12:15 PM
*Friday June 29 Mass at 8:15

Email address *
Session Choice Summer or Weekly *
Current Parish *
Your answer
Child' Name First, Middle, and Last *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Grade *
Your answer
Baptismal Date *
MM
/
DD
/
YYYY
Baptism Location *
Your answer
Please list any allergies your child has: *
Your answer
Child' Name First, Middle, and Last
Your answer
Birthdate
MM
/
DD
/
YYYY
Grade
Your answer
Baptismal Date
MM
/
DD
/
YYYY
Baptism Location
Your answer
Please list any allergies your child has:
Your answer
Child' Name First, Middle, and Last
Your answer
Birthdate
MM
/
DD
/
YYYY
Grade
Your answer
Baptismal Date
MM
/
DD
/
YYYY
Please list any allergies your child has:
Your answer
Child' Name First, Middle, and Last
Your answer
Birthdate
MM
/
DD
/
YYYY
Grade
Your answer
Baptismal Date
MM
/
DD
/
YYYY
Baptism Location
Your answer
Please List any allergies your child has:
Your answer
Parent Name: *
Your answer
Best contact during class time (phone): *
Your answer
Email address: *
Your answer
Emergency Contact (Name & phone): *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Queen of Peace Catholic School. Report Abuse - Terms of Service