Religious Education Registration Online Form

For all NEW students of 2018-2019 school year.

Please note: All questions with * are required for the full completion of the religious education program.

Your Child's Information
Name of Student
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Grade
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Age
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Gender
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Date of Birth //
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Place of Birth
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Mailing Address
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Name of Church you belong, Since When (Year)?
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Your Church Address
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Registered Parishioner?
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Has your child been to a Catholic School or Religious Education Classes?
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If Yes, what Catholic School name OR RE Classes Church name; and how many yearsn
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Sacraments Received
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Special Needs: To enable us to serve your child(ren), please indicate any special needs/instructions, diet, allergies, disabilities (e.i. Autism, ADD/ADHD, or physical challengers) as well as any medication(s) your child is taking.
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Parent's Information
Are you registered in this parish?
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Name of Father
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Religion of Father
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Name of Mother
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Religion of Mother
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Address
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Primary Phone --
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Secondary Phone --
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Email
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Secondary E-mail
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Emergency Contact Name
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Emergency Contact Relationship
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Emergency Phone Number --
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Your child's mode of transportation.
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Parent Involvement
Please check at least one involvement
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Please specify other(s) involvement
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Registration Fee
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Parent Signature
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