Religion Registration Form 2020 St. Joseph & St. Ann
Please complete and submit one form for each child. ( Kindergarten through 12 grade)
By Completing and submitting this form I acknowledge that all information given for this child is correct and up to date. *
By Completing and submitting this form I agree to all behavior, appearance, and liability agreement in above image. *
Child's full Name *
Child's age *
Child's Gender *
Church Child attends *
Child's School he/she attends *
Child's School Grade *
Child lives with *
Child's ( Sacraments received) *
Required
Picture release agreement ( I give my permission to use the picture of the child listed above for church purpose only. *
Dose Child listed above have allergies (If yes please list allergies in box below) *
Yes child listed above has allergies listed below
My child may attend in class religion instruction if proper safety is observed *
I would l prefer my child to receive online religion lessons *
Parent Information
Fathers full name for child listed above *
Fathers Mailing Address *
Fathers Contact Numbers(Home,& Cell) *
Mothers full Maiden name for child listed above
Mothers Mailing Address( or list same as above)
Mothers contact numbers (Home,& Cell) *
Do you as parents receive Church support envelopes *
Parents email address
Do you have a Facebook page? *
Are you receiving Facebook / text updates from your child's religion grade. If no please fill the next box. *
I would like to be added to Private Facebook page for religion grade.
Clear selection
My Facebook name is listed as
Legal Guardian Information
If your not the parent but have legal custody of child listed above please fill out information below
Legal Guardian Full name
Legal Guardian Contact numbers ( Home, Work Cell)
Legal Guardian Mailing Address
Do you as Legal Guardian Receive church envelopes
Clear selection
Parental Authorization ( Check out/Pick up)
Please list two names who are allowed to leave church property with child listed above
#1 Full name of authorized adult for child listed above *
#1 Contact number of authorized adult for child listed above *
#1 Relationship to child listed above *
#2 Full name of authorized adult for child listed above *
#2 Contact number of authorized adult for child listed above *
#2 Relationship to child listed above *
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