religious education online registration <br />

--FAMILY INFORMATION--

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.

BEST Email Address for communications Please enter an email address.

Additional emails to receive updates Please enter an email address.

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

Mother/Guardian Phone Number: REQUIRED Please fill out this field. Please enter a phone number.

Able to receive text messages REQUIRED Please fill out this field.

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

Father/Guardian Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Able to receive text messages REQUIRED Please fill out this field.

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

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

Able to receive text messages REQUIRED Please fill out this field.

--STUDENT INFORMATION--

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

Date of Birth REQUIRED Please fill out this field. Please enter valid data.

2021-2022 Grade REQUIRED Please fill out this field.

Sacraments Received (please check ALL boxes that apply) REQUIRED Baptism Reconciliation First Communion None of the Above Please fill out this field.

Special needs, conditions, allergies, etc. (please list all that apply) REQUIRED Please fill out this field. Please enter valid data.

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

Date of Birth Please enter valid data.

2021-2022 Grade

Sacraments Received (please check ALL boxes that apply) Baptism Reconciliation First Communion None of the Above

Special needs, conditions, allergies, etc. (please list all that apply) Please enter valid data.

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

Date of Birth Please enter valid data.

2021-2022 Grade

Sacraments Received (please check ALL boxes that apply) Baptism Reconciliation First Communion None of the Above

Special needs, conditions, allergies, etc. (please list all that apply) Please enter valid data.

Child 4: First/Last Name Please enter valid data.

Date of Birth Please enter valid data.

2021-2022 Grade

Sacraments Received (please check ALL boxes that apply) Baptism Reconciliation First Communion None of the Above

Special needs, conditions, allergies, etc. (please list all that apply) Please enter valid data.

--PARISH MEMBERSHIP/REGISTRATION FEES--

Is your family NEW to our RE program? REQUIRED Please fill out this field.

Are you registered members of our parish cluster? REQUIRED Yes, we are members. No, we are not members. Please fill out this field.

If yes, which parish?

REGISTRATION FEES: $25 per child or $50 per family for in person sessions (Non-parishioners--fees double)

2nd Grade & 10th Grade ADDITIONAL SACRAMENTAL FEE $25: This covers additional sacramental materials such as banners, candles, workbooks, and retreats.

--PROGRAM SELECTION--(check all that apply)
**Grade level (students only) classes will take place once per month, and large group/family nights will take place once per month. It is recommended that all students participate in both of these sessions.

GRADE LEVEL (students only) CLASSES REQUIRED Yes, my child will be participating in grade level faith formation. No, my child will NOT be participating in grade level faith formation. Please fill out this field.

FAMILY CENTERED (large group) FAITH FORMATION REQUIRED Yes, my family (children & parents) will attend Families of Faith night as a family-unit, No, my family will NOT be able to attend as a family-unit, but my child/children will attend. Please group them with a friend. No, my family (children & parents) will NOT be attending the Families of Faith night. Please fill out this field.

My child will be participating in 2nd grade classes to prepare for the sacraments of First Reconciliation and First Communion. REQUIRED Yes No Please fill out this field.

My child will be participating in 8th-10th grade classes to prepare for sacrament of Confirmation. REQUIRED Yes No Please fill out this field.

--EXTRAS--

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.

--Volunteer Opportunities--
Your time and talent is greatly appreciated and allows us to keep our registration fees low! Ideally, all parents/guardians would lend a hand in some way. Please check all boxes where you may be willing to help. This does not obligate you, however, we will call you to futher discuss different opportunities and needs we may have.

Please check all boxes that apply I would be willing to teach or co-teach once per month. I would be willing to help lead or assist with large group night once per month. I would be willing to help or assist with youth Mass. I would be willing to help with a youth Fall Festival. I would be willing to help with youth fund-raisers. I would be willing to help with a youth Christmas Program. I would be willing to help with a spring youth rally.

All are welcome....

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

religious education online registration

Documents

2021-2022 Religious Education form