Religious Education Registration Step 1 of 5 20% Is the family registered in the parish? Yes No, but I would like to register No, I wish to not be a member of the parish I'm registered in another parish Name of parish you are registered atStudent Name (as it appears on the birth certificate) First Middle Last Address (where student resides)* Street Address 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 Date of Birth* Month Day Year Age (September 1, 2025)*Grade in 2025-2026*Select OneKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeName of School Where Child will be Attending (2025-2026)*Did your child attend Religious Education Classes last school year (2024-2025) at our parish?* Yes No My child attended classes at another parish Name of Catechist*Name of Parish*If your child will be in K-6th Grade, which catechetical session do you prefer?* English (Sundays 9:40-10:45am) Spanish (Saturdays 9:20-10:35am) SPRED (Sundays 9:40-10:45am) Wednesdays: 7:00-8:15pm (NOT BAPTIZED) Sundays: 9:40-10:45am (NOT BAPTIZED- Returning students ONLY in class with Catechist: Kathryn O'Brien and Kevin Roach) Saturdays: 9:20-10:35am (NOT BAPTIZED- Returning students ONLY in class with Catechist: Martiza Vargas) If your child will be in 7-12th Grade, which catechetical session do you prefer?* Mondays: 7:00-8:15pm (Confirmation ONLY) Mondays: 7:00-8:15pm (First Communion and/or Confirmation) Wednesdays: 7:00-8:15pm (Needs Baptism, First Communion and Confirmation) SPRED (Sundays 9:40-10:45am) SACRAMENTAL INFORMATIONBAPTISM - Has the child received Baptism?*Select OneYesNoFIRST COMMUNION - Has the child received his First Communion??*Select OneYesNoCONFIRMATION - Has the child received Confirmation?*Select OneYesNoINFORMATION ABOUT THE STUDENTPlease mention any special or medical needs(Learning or physical disabilities, ADHD, hearing/vision impaired, etc.)Allergies Parent InformationFATHERFather's Full Name:*If the father does not appear in the child's birth certificate, write "N/A"Telephone #*If the father is not present in the child's life, write "000-000-0000"Email Civil Status*Select OneMarried in the CHURCHMarried CIVILLYLiving with my partner (not yet married)SeparatedSingleN/AIf the father is not present in the child's life, select "N/A"ReligionLanguage preferred when receiving information from our officeEnglishSpanishEnglish/Spanish (I speak both)OtherFATHER- lives with the child?*Select OneYESNON/AMOTHERMother's Full Name*If mother does not appear in the birth certificate, write "N/A"Telephone #*If mother is not present in the child's life, write "000-000-0000"Email ReligionCivil Status*Select OneMarried in the CHURCHMarried CIVILLYLiving with my partner (not yet married)SeparatedSingleN/AIf mother is not present in the child's life, select "N/A"Language preferred when receiving information from our office*EnglishSpanishEnglish/Spanish (I speak both)OtherDoes the mother reside in the same address as the student?*Select OneYesNoN/ACustodyLegal Custody*Select OneBoth parents have custody without restrictionsBoth parents have custody with restistrictionsParents are separated and have joint custody, no restrictionsOnly the mother has full custodyOnly the father has full custodyNone of the above, I would like to explainName of individuals who have legal custody of the child. Please also add relationship to the child (for example: grandmother, other)List Restrictions/ Court Orders*Name of siblings that will also attend Religious Education Classes in 2025-2026Notice: you will have to fill out a separate form to register additional childrenVolunteer in Our ProgramVolunteer Check here if you wish to volunteer in the program. Volunteer Opportunities: Catechist, Assistant Catechist, Hallway Monitor, Office Staff (during the session) Emergency ContactsList those, over the age of 18, allowed to drop-off and pick-up your child any time during the year, and whom we may contact in the case of an emergency (other than mom or dad)First and Last Name (Emergency Contact 1)Phone (Emergency Contact 1)Relationship to Student (Ex: step parent, aunt, brother, nanny, family friend, etc.)First and Last Name (Emergency Contact 2)Phone (Emergency Contact 2)Relationship to Student (Ex: step parent, aunt, brother, nanny, family friend, etc.)Medical CareIf the need arises, I give permission for my child to receive emergency medical care while participating in the Religious Education Program*YesNo Documents to SubmitHere you may submit a picture or PDF of your child's birth certificate, baptism certificate, or any other important documents you think are important for our office to have such as court orders, etc. Birth CertificateMax. file size: 512 MB.(only if you haven't submit it)Baptismal CertificateMax. file size: 512 MB.(only if you haven't submit it)First Communion CertificateMax. file size: 512 MB.(only if applicable and if you haven't submit it)Other DocumentsMax. file size: 512 MB.Paymentone student: $100; two students: $160; three or more students: $200Method of payment I would like to pay online with a credit card I would like to mail a check I would like to set up an appointment to pay by cash in the office I would like a payment plan to pay the fee Name & Signature of Person Submitting RegistrationName of Person Registering Student (First and Last Name)Email of person registering the student* All information above is true.Please sign in the grey box.Today's Date* MM slash DD slash YYYY CAPTCHA Δ
