religious education online registration <br />

Family Last Name REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Child 1: First/Last Name REQUIRED Please fill out this field. Please enter valid data.

Child 1: Grade REQUIRED Please fill out this field.

Child 1: Shirt Size REQUIRED Please fill out this field.

Child 2: First/Last Name Please enter valid data.

Child 2: Grade

Child 2: Shirt Size

Child 3: First/Last Name Please enter valid data.

Child 3: Shirt Size

Child 3: Grade

Primary Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Secondary Phone Number Please enter a phone number.

Emergency Contact Number REQUIRED Please fill out this field. Please enter a phone number.

Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Home Parish REQUIRED St. Peter St. Boniface Assumption of the Blessed Virgin Mary St. Joseph Other Please fill out this field.

Mother/Guardian Name REQUIRED Please fill out this field. Please enter valid data.

Father/Guardian Name REQUIRED Please fill out this field. Please enter valid data.

By checking this box, I understand that I will be billed for religious education fees. REQUIRED

Registration fees are $30 per child for registered parishioners. Students in sacramental years (grade 2 and 10) will be charged an additional $25 for sacramental prep. All fees are doubled for non-parishioners.

I agree I am requesting scholarship/assistance with religious education fees Please fill out this field.

Safe & Sacred Environment Lesson REQUIRED

Within our faith formation curriculum, we will be teaching age-appropriate lessons on chasity, Christian living and character. This is a part of a nation-wide Safe and Sacred training program used in all Catholic churches.

My child may participate in the Safe & Sacred Lesson I do not wish for my child to participate in the Safe & Sacred Lesson Please fill out this field.

Allergies REQUIRED

To ensure the safety of your child, please share with us any food or medication allergies he or she may have.

No, my child does not have a food or medication allergy. Yes, my child has an allergy to a food and/or medication. Please fill out this field.

If YES, please list child's name & all allergies here.

Please list all allergies in the box provided.

Volunteer I would love to help as a teacher (full or part time) I would love to help substitute teach I would love to help be a classroom helper I would love to help with special events I would love to help with special projects

Image Release REQUIRED I give permission for my child(ren)'s image and audio to be recorded for parish and diocesan use only I do not give permission for my child(ren)'s image to be used Please fill out this field.

Code of Conduct/Participation Agreement

The Code of Conduct and Participation Agreement can be found linked to this page or the Religious Education Home page.

We the parents/guardians have read with our child(ren) the Code of Conduct and Participation Agreement

All are welcome....

Let us build a house where love can dwell...

religious education online registration

Documents

religious education online registration