CCD Registration Form
First Name
Your answer
Middle Name
Your answer
Last Name
Your answer
Grade Entering
Your answer
Age
Your answer
Mother First Name
Your answer
Mother Last Name
Your answer
Father First Name
Your answer
Father Last Name
Your answer
Address
Your answer
Email Address
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Place of Birth
Your answer
Date Of Birth
MM
/
DD
/
YYYY
Baptism Location
Your answer
Date of Baptism
MM
/
DD
/
YYYY
Godparents
Your answer
Student from other parish, Please provide your parish Name:
Your answer
Is student receiving confirmation?
Fee information
Fee is $30 per child $80 per family if more than 3 children

For online payment, click the below link:
http://www.stjosephs-chester.org/online_giving.html

For others, please mail your checks to the below address:

St. Joseph's Church
48 Middlesex Avenue,
Chester, CT 06412

Once you complete the payment, please submit the form to complete your registration.

PLEASE MAKE CHECKS PAYABLE TO: St. Joseph's Church
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