St. John Vianney Catholic Church Religious Education Registration Form
** NOTE: Only a parent/legal guardian can register their child(ren) for Religious Education. If you are not the parent/legal guardian, SJV will need the written permission of the parent/legal guardian before enrollment**

2018-2019 Religious Education Registration Form Kindergarten to 12th Grade

Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
Grade *
Entering Fall 2018
Age *
Your answer
Food Allergies/Health Concerns
Please Explain
Your answer
What else should we know about your child?
Your answer
Sacramental Information *
Sacraments your child has already received
Required
Name of Baptismal Church
(if applicable)
Your answer
Religious Education Program Choice *
Please Note: XLT for all LifeTeen students on the First Saturday of the month 5:30 pm-7:30 pm
Parent 1 Name *
Your answer
Parent 1 Cell Phone *
Your answer
Parent 1 Cell Phone accepts text messages *
Parent 2 Name
Your answer
Parent 2 Cell Phone
Your answer
Parent 2 Cell phone accepts text messages
Parent 2 Email Address
Your answer
Are you a member of St. John Vianney? *
Emergency Contact
Emergency Contact will be notified for emergencies if unable to reach parent 1 or 2
Emergency Contact Name: *
Other than Parent
Your answer
Emergency Contact Phone # *
Other than Parent
Your answer
Circle of Grace Consent *
I give permission for my child to participate in the Archdiocese of Santa Fe’s Circle of Grace program. The goal of the Circle of Grace program is to educate & empower children and young people to actively participate in a safe environment for themselves & others.
Video and Photograph Permission *
I give my permission for my child to be photographed or videotaped at St. John Vianney Parish for the year registered in Religious Education/Formation. I realize the photo/video may be published in the bulletin or other parish and/or archdiocesan publications. The photo/video may be used for informational, educational or promotional purposes regarding our religious education/formation programs.
Flocknote Registration
All parents will be added to SJV's Flocknote Service. Flocknote is a service the church uses in order to better stay in contact with it's members. Your information (Name/Cell Phone/Number/Email Address) will only be used for approved church notifications (email and/or text messages). Your information will never be sold.
A copy of your responses will be emailed to the address you provided.
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