St. Kateri Religious Education 2019-2020
There is a $20 per child/$50 per family maximum registration fee. Please turn this fee in with the Permission Release form to Debbie Gausmann or Marybeth Young.
Child Last Name *
Your answer
Child First Name *
Your answer
Child Middle Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Grade (School year 2019-2020) *
Your answer
School Attending (School year 2019-2020) *
Your answer
Baptism *
Sacrament Details
Address *
Your answer
Mother Last Name *
Your answer
Mother First Name *
Your answer
Mother Email *
Your answer
Mother Cell Phone Number *
Your answer
Is the Mother Catholic? *
Father Last Name *
Your answer
Father First Name *
Your answer
Father Email *
Your answer
Father Cell Phone Number *
Your answer
Is the Father Catholic? *
In case parent cannot be reached in an emergency, please notify *
Your answer
Emergency contact phone number *
Your answer
Dietary restrictions *
Your answer
Permission/Release *Please print the Release form from the link on our website and return to the RE office. *
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