St. Anne Religious Education Registration
St. Anne Religious Education Registration

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Student Name *
Date of Birth *
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Age (in September 2024) *
Address *
Home Phone number *
Email
Emergency Contact Name *
Emergency Contact Phone Number *
School Attending *
Grade *
Years of Religious Instruction
Father's Name *
Father's Religion *
Father's Cell Phone *
Father's email
Mother's Maiden Name *
Mother's Religion *
Mother's Cell Phone Number *
Mother's email *
Date Received:  Holy Mystery of Baptism
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Church:  Holy Mystery of Baptism
Date Received:  Holy Mystery of Chrismation
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Church:  Holy Mystery of Chrismation
Date Received:  Holy Mystery of the Holy Eucharist
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Church:  Holy Mystery of the Holy Eucharist
Date Received:  First Penance (if applicable
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Church:  First Penance (if applicable)
The policy at our church regarding First Penance is two years of instruction at this church and the student must be in at least second grade in school.
Attendance is important at our classes.  If your child(ren) will be absent from class, an email is required to be sent informing the director of the absence.
Please enter below any information you would like us to know concerning a family situation, learning difficulties or physical problems affecting learning.  ALL INFORMATION WILL BE KEPT CONFIDENTIAL
In signing this form as a parent or guardian, I sincerely will cooperate in bringing this child to Divine Liturgy weekly, religious education weekly, and other services at this parish.  I will also encourage his/her full participation in the Religion Education Program (enter name for signature)
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