St. John XXIII Religious Formation Registration Form 2020-2021
ONLINE REGISTRATION FORM

Thank you for showing interest in our program!!! Our Religious Formation programs are open to children and youth grades K-12. For more information, please view our website at www.johnxxiiicc.org.

Remember, your registration is not complete until your payment has been received.

To submit your payment, please bring cash or check to our Front Office any time Monday to Friday from 9:00 AM - Noon or Monday to Thursday from 1:00 - 5:00 PM OR mail a check made out to "St. John XXIII Catholic Community" to:
St. John XXIII Catholic Community
Attn: Angela Holt
4831 Tramway Ridge Dr. NE
Albuquerque, NM 87111

Fees are $25 per child up to $50 per family for families registered at St. John XXIII. For families registered at another parish, fees are $50 per child. If this fee is a hardship for your family, please contact our Religious Formation Director.

PLEASE READ
Please be sure to fill out this registration form to the best of your knowledge. You may submit this form for up to three (3) children. If you are registering more than three children, you will have to complete this form again. Only a parent/legal guardian can register their child(ren) for Religious Formation. If you are not the parent/legal guardian, we will need the written permission of the parent/legal guardian before enrollment.

Submitting this form does not guarantee enrollment; however, you will be notified if there are any issues with your registration.
Email *
Parish where your family is registered *
Primary Residence Line 1 *
(Street, Apartment #)
City, State, Zip *
Parent/Guardian 1 Name *
(first and last)
Parent/Guardian 1 Primary Phone Number *
(XXX-XXX-XXXX)
Parent/Guardian 2 Name
(first and last)
Parent/Guardian 2 Phone Number
(XXX-XXX-XXXX)
Parent/Guardian 2 Email Address
Emergency Contact Name *
Please do not list a parent from above. In case of an emergency, a parent/guardian is contacted first. If unable to contact parent/guardian(s), this is who we will contact.
Emergency Contact Phone Number *
(XXX-XXX-XXXX)
Would either parent be willing and available to volunteer as a teacher or teacher's aide? *
(If you indicate YES, a staff member will contact you with additional details)
If yes, has the parent willing to volunteer taken the Archdiocese’s Safe Environment Workshop?
Clear selection
First Child's Name *
(first and last)
First Child's Email *
First Child's Age *
First Child's Birthdate *
MM
/
DD
/
YYYY
First Child's Gender *
First Child's Grade September 2020 *
First Child's School in September 2020 *
First Child Lives With *
First Child's Baptism Date *
Answer to the best of your knowledge. If they have not been baptized, please enter today's date.
MM
/
DD
/
YYYY
First Child's Baptism Parish and City, State *
Answer to the best of your knowledge. If they have not been baptized, please enter "none."
First Child's First Eucharist Date *
Answer to the best of your knowledge. If they have not been received First Eucharist, please enter "none."
First Child's First Reconciliation/Penance Date *
Answer to the best of your knowledge. If they have not been received First Reconciliation, please enter "none."
First Child's Confirmation Date *
Answer to the best of your knowledge. If they have not been received Confirmation, please enter "none."
First Child's Special Needs: *
(medical, learning disabilities, physical disabilities, etc. If none, enter "none")
First Child's Allergies: *
If none, enter "none")
First Child's Medications: *
Please list any medications your child is taking we need to be aware of. If none, enter "none")
First Child Comments or anything else you like us to know:
First Child's Religious Formation Program *
Do you have a Second Child to Register? *
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