Religious Education Registration

2010-2011

Classes Begin Sunday September 26, 2010 – 8:30 – 9:45 a.m.

Religious Education Registration Form

Child's First Name:(required)
Child's Last Name: (required)
Date of Birth: (required)
Age: (required)
Grade Attending in Fall 2010:(required)
School:(required)
Street Address:(required)
City:(required)
Zip Code:(required)
Home Phone:(required)
Parent's E-Mail Address:(valid email required)
Father's Full Name:
Father's Address:
Father's Daytime Phone:
Father's Evening Phone:
Mother's Full Name: (Maiden)
Mother's Address:
Mother's Daytime Phone:
Mother's Evening Phone:
Was your child registered last year in our program? (required)

New Registration

If this is a new registration, fill out info. below:
Was your child baptized:(required)
If yes, was your child baptized in St. John's?(required)
If no, where was your child baptized? (Church/Date)
Has your child received First Communion?(required)
If yes, did your child receive First Communion in St. John's?(required)

If no, which church did your child receive First Communion?(Church/date)

Upload Certificates:

This is only necessary if your child received their sacraments at another church. You may also submit the Certificates by mail or in person.
Use this box to upload your Baptism Certificate (if applicable)
Use this box to upload your First Confession Certificate
Use this box to upload your First Communion Certificate
Please note there is a registration fee of $100 for the first child, $50 for the second child, $25 for the third child, and $0 for the fourth child. You may pay this fee after clicking the submit button below, and selecting the second option on the following page.

cforms contact form by delicious:days