Catholic Religious Education Registration Form - Immaculate Conception Church
Religious Education Classes begin in person at 8:30am on Sunday September 19, 2021 at Immaculate Conception Church, 2 Doyon Place, Fairbanks, AK 99701 (907) 452-3533
Materials Fee Payable on First Day of Classes:
One Child $35.00
Two children $70.00
Three or more Children $90.00
Parent / Legal Guardian Name *
Parent / Legal Guardian Name
Mailing Address *
Phone number *
Email Address *
Name of Child *
Age of Child *
School Grade of Child *
Has your child received any of the Sacraments of Initiation (baptism, communion, confirmation) already? Which sacrament(s) have they received? *
Do you hope to have your child receive one of the Sacraments of the Church this year? If so, which sacrament? *
Has your child attended any Catholic Religious Education classes previously? Please describe. *
Any special education needs, allergies, or other issues that the catechists should be made aware? *
Emergency Contact Person Name (first, last) *
Emergency Contact Person Phone Number *
Medical Release: In the event of accident or injury to your child, do we have permission to seek and obtain medical treatment for injury? *
Would you be interested in having your child participate in a church youth / children's choir? *
Do you have any other children that you need to register? *
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