Religious Education Registration 2022-23

Parent or Guardian Last Name*
Mother's First Name
Father's First Name
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Home Phone/Mom Cell/Dad Cell/Work Number*
Emergency Contact Name and Phone Number and Relationship*

Student #1 Full Name (First, Middle and Last)*
Student <1> Sex*
- Male
- Female
Student <1> First Choice Class Option*
Class options include: Schedule Sunday 5:30- 7:00 PM (Grades 1 - 12), Monday 4:45 - 6:15 PM (Grades K - 8) or Rite of Christian Initiation for Children (RCIC)
Student <1> Second Choice Class Option
Class options include: Schedule Sunday 5:30- 7:00 PM (Grades 1 - 12) or Monday 4:45 - 6:15 PM (Grades K - 8)
Student <1> Academic Grade in 2023-24*
Check the box if Student <1> has special needs
- Check the box if Student <1> has special needs
If Student <1> requires special needs please provide as much information as possible.
Student <1> Birth Year
Student <1 > Birth Day of Month*
Student <1> Birth Month*
Student <1> Sacraments Already Received
- Baptism
- First Penance
- First Holy Communion
- Confirmation
Student <1> Lives With Whom
If Student <1> does not live with parents, please list with whom they live and what their relationship to them is.
Where did Student <1> receive their Religious Education last year? (Name and location of Parish)*

Student <2>Full Name (First, Middle and Last)
Student <2> Sex
- Male
- Female
Student <2> First Choice Class Option
Class options include: Schedule Sunday 5:30- 7:00 PM (Grades 1 - 12), Monday 4:45 - 6:15 PM (Grades K - 8) or Rite of Christian Initiation for Children (RCIC)
Student <2> Second Choice Class Option
Class options include: Schedule Sunday 5:30- 7:00 PM (Grades 1 - 12) or Monday 4:45 - 6:15 PM (Grades K - 8)
Student <2> Academic Grade in 2023-24
Check the box if Student <2> has special needs
- Check the box if Student <1> has special needs
If Student <2> requires special needs please provide as much information as possible.
Student <2> Birth Year
Student <2 > Birth Day of Month
Student <2> Birth Month
Student <2> Sacraments Already Received
- Baptism
- First Penance
- First Holy Communion
- Confirmation
Student <2> Lives With Whom
If Student <2> does not live with parents, please list with whom they live and what their relationship to them is.
Where did Student <2> receive their Religious Education last year? (Name and location of Parish)

Student <3 > Full Name (First, Middle and Last)
Student <3> Sex
- Male
- Female
Student <3> First Choice Class Option
Class options include: Schedule Sunday 5:30- 7:00 PM (Grades 1 - 12), Monday 4:45 - 6:15 PM (Grades K - 8) or Rite of Christian Initiation for Children (RCIC)
Student <3> Second Choice Class Option
Class options include: Schedule Sunday 5:30- 7:00 PM (Grades 1 - 12) or Monday 4:45 - 6:15 PM (Grades K - 8)
Student <3> Academic Grade in 2023-24
Check the box if Student <3> has special needs
- Check the box if Student <3> has special needs
If Student <3> requires special needs please provide as much information as possible.
Student <3> Birth Year
Student <3> Birth Day of Month
Student <3> Birth Month
Student <3> Sacraments Already Received
- Baptism
- First Penance
- First Holy Communion
- Confirmation
Where did Student <3> receive their Religious Education last year? (Name and location of Parish)

Student <4> Full Name (First, Middle and Last)
Student <4> Sex
- Male
- Female
Student <4> First Choice Class Option
Class options include: Schedule Sunday 5:30- 7:00 PM (Grades 1 - 12), Monday 4:45 - 6:15 PM (Grades K - 8) or Rite of Christian Initiation for Children (RCIC)
Student <4> Second Choice Class Option
Class options include: Schedule Sunday 5:30- 7:00 PM (Grades 1 - 12) or Monday 4:45 - 6:15 PM (Grades K - 8)
Student <4> Academic Grade in 2023-24
Student <4> Birth Year
Student <4> Birth Day of Month
Student <4> Birth Month
Check the box if Student <4> has special needs
- Check the box if Student <4> has special needs
If Student <4> requires special needs please provide as much information as possible
Where did Student <4> receive their Religious Education last year? (Name and location of Parish)