Religious Ed Registration Form 2018-2019
Classes Begin, Sunday, September 23rd- 8:30AM- 9:45AM

Please submit one form per child!

Child's First Name : *
Your answer
Last Name : *
Your answer
Select Male or Female *
Address: *
Your answer
City: *
Your answer
Zip Code: *
Your answer
Date of Birth: *
MM
/
DD
/
YYYY
Age: *
Your answer
Grade Attending in Fall 2018 *
School: *
Your answer
Home Phone: *
Your answer
Best Name and Number to Text Reminders to: *
Your answer
Father's Full Name: *
Your answer
Father's Address (if different from above):
Your answer
Best phone number to reach Father: *
Your answer
Father's email address: *
Your answer
Mother's Full Name (Maiden): *
Your answer
Mother's Address (if different from above):
Your answer
Best phone number to reach Mother: *
Your answer
Mother's e-mail address: *
Your answer
Is your child able to speak and read English? *
Has your child been baptized? *
If yes, at which Church? Date?
Your answer
Has your child received First Confession? *
If yes, at which Church? Date?
Your answer
Has your child received First Communion? *
If yes, at which Church? Date?
Your answer
Have the parents of this child been married in the Catholic Church? *
My child has attended religious education classes for the following grades: (Please check grades) *
Required
Are you a registered parishoner of St. John's? If no, we will need a permission letter from your parish. *
Please list any learning disabilities, behavioral problems, or medications that your child is taking. *
Your answer
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