St. Mary St. Catherine Religious Education 2019-2020 Registration
Last Name
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First Name
Your answer
Grade *
Your answer
Class day and time preference *
Date of Birth *
MM
/
DD
/
YYYY
Home Address *
Your answer
School Attending *
Your answer
Mother's (Guardian's) Name *
Your answer
Mother's cell phone *
Your answer
Mother's Religious Denomination *
Your answer
Mother's email address *
Your answer
Father's (Guardian's) Name *
Your answer
Father's cell phone *
Your answer
Father's Religious Denomination *
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Father's email address *
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Sacraments Received - please list date, parish, and city/town
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Baptism *
Your answer
First Communion *
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Any special needs or accommodations?
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Can your child receive snacks in class?
Does your child have allergies? If yes, please describe
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Emergency Contact Name and Telephone *
Your answer
Payment
Grade 2 $125; All other grades $75; Siblings $30
Please contribute via check or cash at the Parish Center. You can also pay via PayPal at this link - use the drop down for Religious Education. Scholarships are available, please inquire at the Parish Center.
https://www.paypal.com/donate/?token=ckFFxFgRfGkpEl1uxosmNhZuuBRUFziVA65vApTVSCZg9AYsWJWJ0L8Wms9xoz33IkbW1m&country.x=US&locale.x=US
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