Religious Education Registration Form Download 2019-20 Registration Form FAMILY INFORMATIONFamily Name* Parish ID#* Address* Street City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Code *Primary address of student(s)/mailing address.Father/Guardian/Parent #1Name* Cell/Home #*Email* Work #*Mother/Guardian/Parent #2Name Cell/Home #Email Work #If not English, primary language spoken at home Student(s) live with:* Both parents Mother Grandparent(s) Other Guardian Father STUDENT INFORMATIONStudent #1 First/Formal Name* Student #2 First/Formal Name Student #3 First/Formal Name Student #4 First/Formal Name Student #1 Last Name* Student #2 Last Name Student #3 Last Name Student #4 Last Name Student #1 Nickname* Student #2 Nickname Student #3 Nickname Student #4 Nickname Student #1 Male/Female* Male Female Student #2 Male/Female Male Female Student #3 Male/Female Male Female Student #4 Male/Female Male Female Student #1 DOB* MM slash DD slash YYYY Student #2 DOB MM slash DD slash YYYY Student #3 DOB MM slash DD slash YYYY Student #4 DOB MM slash DD slash YYYY Student #1 Grade Level/School* Student #2 Grade Level/School Student #3 Grade Level/School Student #4 Grade Level/School Student #1 RE Grade Level for 2019-2020* Student #2 RE Grade Level for 2019-2020 Student #3 RE Grade Level for 2019-2020 Student #4 RE Grade Level for 2019-2020 Sacraments ReceivedSacraments ReceivedSacraments ReceivedSacraments ReceivedStudent #1 Baptism* Yes No Student #2 Baptism Yes No Student #3 Baptism Yes No Student #4 Baptism Yes No Student #1 Reconciliation* Yes No Student #2 Reconciliation Yes No Student #3 Reconciliation Yes No Student #4 Reconciliation Yes No Student #1 Communion* Yes No Student #2 Communion Yes No Student #3 Communion Yes No Student #4 Communion Yes No Sacraments to be completed this session?Sacraments to be completed this session?Sacraments to be completed this session?Sacraments to be completed this session?Student #1 Communion* Yes No Student #2 Communion Yes No Student #3 Communion Yes No Student #4 Communion Yes No Student #1 Confirmation* Yes No Student #2 Confirmation Yes No Student #3 Confirmation Yes No Student #4 Confirmation Yes No Student #1 Session Preferred* A B Student #2 Session Preferred A B Student #3 Session Preferred A B Student #4 Session Preferred A B Session A Tuesdays - 4:30pm-5:45pm Session B Tuesdays - 6:00pm-7:15pm *Kindergarten and Special Sacraments only offered during Session A. PhoneThis field is for validation purposes and should be left unchanged.
