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2021-2022 Religious Education Registration
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* Indicates required question
Email
*
Your email
Family Last Name
Your answer
Family Address (street, city, state, & zip)
Your answer
Cell phone number (Primary)
Your answer
Cell phone number (Secondary)
Your answer
*If your child is sick during class, how should we contact you? (In case of an emergency, please add 937-298-2402 to your contacts in your phone.)
Text
Phone
Clear selection
Secondary Email Address
Your answer
Are you a registered Parishioner of St. Albert?
Yes
No (The non-parishioner fee is $20 per family)
I would like to become a Parishioner. Please contact me.
Clear selection
Father's Name
Your answer
Father's Address (if different from above)
Your answer
Father's Religion
Your answer
Mother's Name (First, Maiden, Last)
Your answer
Mother's Address (if different from above)
Your answer
Mother's Religion
Your answer
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