St. John's Religious Education Registration Form
Please complete this form to register your child or children for Religious Education classes at St. John's Parish in Worcester.
Parent/Guardian (#1)
(Primary Contact)
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Telephone # *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone # *
Your answer
Contact Parent/Guardian with opportunities to assist Religious Education Program
Parent/Guardian (#2)
(Optional: You may skip this section if you would only like one parent or guardian to be contacted)
First Name
Your answer
Last Name
Your answer
Email Address
Your answer
Telephone #
Your answer
Address
(If different than address listed above)
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Contact Parent/Guardian with opportunities to assist Religious Education Program
Student Information
Click "continue" to proceed to the student information section.
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