St. Stanislaus Religious Education Enrollment 2021-2022
**Please complete a separate form for each child**
Classes available for children age 3 - grade 12.
Enrollment Fee: $10 per student
Please bring payment the first Sunday of PSR, September 12th.
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Student Last Name *
Student First Name *
Date of Birth (dd/mm/yyyy) *
Grade in School (2021-2022 school year) *
Has your child received the Sacrament of Baptism? *
Parish of Baptism (Parish Name, City, State) *
Has your child received the Sacrament of First Reconciliation? *
Has your child received the Sacrament of First Holy Communion? *
Has your child received the Sacrament of Confirmation? *
Mother's Name
Mother's Phone Number
Father's Name
Father's Phone Number
Email
Mailing Address (Address, City, State, Zip) *
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