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Religious Education Registration (New Family)

Hello, and welcome to St. Catherine's Religious Education program! If this is your first time enrolling, then this is the form for your student(s).

Fees are $25 per child not to exceed $75 per family. You may pay online (for a small fee) using our myEoffering site or submit a check with RELIGIOUS ED. FEES clearly notated in the memo.

Next year (2022-2023), classes will begin in August and continue through May, meeting on Sunday at 9:00 AM.
new family religious ed. registration
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- FAMILY NAME REQUIRED Please fill out this field. Please enter valid data.
- STREET 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.
- Primary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Other Phone Number Maximum 20 characters Please enter a phone number.
- NUMBER OF PARENT(S)/GUARDIAN(S) REQUIRED Please fill out this field.
  
  PARENT/GUARDIAN 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  BUSINESS PHONE: Maximum 20 characters Please enter a phone number.
  
  BUSINESS/WORK: Please enter valid data.
  
  RELIGION REQUIRED Please fill out this field. Please enter valid data.
  
  MARITAL STATUS REQUIRED Please fill out this field.
  
  I AM INTERESTED IN VOLUNTEERING FOR: Please enter valid data.
  
  PARENT/GUARDIAN 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  BUSINESS PHONE: Maximum 20 characters Please enter a phone number.
  
  BUSINESS/WORK: Please enter valid data.
  
  RELIGION REQUIRED Please fill out this field. Please enter valid data.
  
  MARITAL STATUS REQUIRED Please fill out this field.
  
  I AM INTERESTED IN VOLUNTEERING FOR: Please enter valid data.
- NUMBER OF STUDENTS REGISTERING REQUIRED Please fill out this field.
  
  STUDENT 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  NICKNAME Please enter valid data.
  
  GENDER REQUIRED Please fill out this field.
  
  GRADE REQUIRED Please fill out this field.
  
  SCHOOL ATTENDING REQUIRED Please fill out this field. Please enter valid data.
  
  DATE OF BIRTH REQUIRED Please fill out this field. Please enter a date.
  
  BIRTH PLACE, City & State REQUIRED Please fill out this field. Please enter valid data.
  
  RELIGION REQUIRED Please fill out this field. Please enter valid data.
  
  SACRAMENTS REQUIRED
  Check sacraments this student has received.
  BAPTISM PENANCE 1st COMMUNION CONFIRMATION NONE Please fill out this field.
  
  LIST PLACE EACH SACRAMENT WAS PERFORMED
  
  HEALTH PROBLEMS/ALLERGIES:
  
  STUDENT 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  NICKNAME Please enter valid data.
  
  GENDER REQUIRED Please fill out this field.
  
  GRADE REQUIRED Please fill out this field.
  
  SCHOOL ATTENDING REQUIRED Please fill out this field. Please enter valid data.
  
  DATE OF BIRTH REQUIRED Please fill out this field. Please enter a date.
  
  BIRTH PLACE, City & State REQUIRED Please fill out this field. Please enter valid data.
  
  RELIGION REQUIRED Please fill out this field. Please enter valid data.
  
  SACRAMENTS REQUIRED
  Check sacraments this student has received.
  BAPTISM PENANCE 1st COMMUNION CONFIRMATION NONE Please fill out this field.
  
  LIST PLACE EACH SACRAMENT WAS PERFORMED
  
  HEALTH PROBLEMS/ALLERGIES:
  
  STUDENT 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  NICKNAME Please enter valid data.
  
  GENDER REQUIRED Please fill out this field.
  
  GRADE REQUIRED Please fill out this field.
  
  SCHOOL ATTENDING REQUIRED Please fill out this field. Please enter valid data.
  
  DATE OF BIRTH REQUIRED Please fill out this field. Please enter a date.
  
  BIRTH PLACE, City & State REQUIRED Please fill out this field. Please enter valid data.
  
  RELIGION REQUIRED Please fill out this field. Please enter valid data.
  
  SACRAMENTS REQUIRED
  Check sacraments this student has received.
  BAPTISM PENANCE 1st COMMUNION CONFIRMATION NONE Please fill out this field.
  
  LIST PLACE EACH SACRAMENT WAS PERFORMED
  
  HEALTH PROBLEMS/ALLERGIES:
  
  STUDENT 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  NICKNAME Please enter valid data.
  
  GENDER REQUIRED Please fill out this field.
  
  GRADE REQUIRED Please fill out this field.
  
  SCHOOL ATTENDING REQUIRED Please fill out this field. Please enter valid data.
  
  DATE OF BIRTH REQUIRED Please fill out this field. Please enter a date.
  
  BIRTH PLACE, City & State REQUIRED Please fill out this field. Please enter valid data.
  
  RELIGION REQUIRED Please fill out this field. Please enter valid data.
  
  SACRAMENTS REQUIRED
  Check sacraments this student has received.
  BAPTISM PENANCE 1st COMMUNION CONFIRMATION NONE Please fill out this field.
  
  LIST PLACE EACH SACRAMENT WAS PERFORMED
  
  HEALTH PROBLEMS/ALLERGIES:
  
  STUDENT 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  NICKNAME Please enter valid data.
  
  GENDER REQUIRED Please fill out this field.
  
  GRADE REQUIRED Please fill out this field.
  
  SCHOOL ATTENDING REQUIRED Please fill out this field. Please enter valid data.
  
  DATE OF BIRTH REQUIRED Please fill out this field. Please enter a date.
  
  BIRTH PLACE, City & State REQUIRED Please fill out this field. Please enter valid data.
  
  RELIGION REQUIRED Please fill out this field. Please enter valid data.
  
  SACRAMENTS REQUIRED
  Check sacraments this student has received.
  BAPTISM PENANCE 1st COMMUNION CONFIRMATION NONE Please fill out this field.
  
  LIST PLACE EACH SACRAMENT WAS PERFORMED
  
  HEALTH PROBLEMS/ALLERGIES:
  
  STUDENT 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  NICKNAME Please enter valid data.
  
  GENDER REQUIRED Please fill out this field.
  
  GRADE REQUIRED Please fill out this field.
  
  SCHOOL ATTENDING REQUIRED Please fill out this field. Please enter valid data.
  
  DATE OF BIRTH REQUIRED Please fill out this field. Please enter a date.
  
  BIRTH PLACE, City & State REQUIRED Please fill out this field. Please enter valid data.
  
  RELIGION REQUIRED Please fill out this field. Please enter valid data.
  
  SACRAMENTS REQUIRED
  Check sacraments this student has received.
  BAPTISM PENANCE 1st COMMUNION CONFIRMATION NONE Please fill out this field.
  
  LIST PLACE EACH SACRAMENT WAS PERFORMED
  
  HEALTH PROBLEMS/ALLERGIES:
  
  STUDENT 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  NICKNAME Please enter valid data.
  
  GENDER REQUIRED Please fill out this field.
  
  GRADE REQUIRED Please fill out this field.
  
  SCHOOL ATTENDING REQUIRED Please fill out this field. Please enter valid data.
  
  DATE OF BIRTH REQUIRED Please fill out this field. Please enter a date.
  
  BIRTH PLACE, City & State REQUIRED Please fill out this field. Please enter valid data.
  
  RELIGION REQUIRED Please fill out this field. Please enter valid data.
  
  SACRAMENTS REQUIRED
  Check sacraments this student has received.
  BAPTISM PENANCE 1st COMMUNION CONFIRMATION NONE Please fill out this field.
  
  LIST PLACE EACH SACRAMENT WAS PERFORMED
  
  HEALTH PROBLEMS/ALLERGIES:
  
  STUDENT 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  NICKNAME Please enter valid data.
  
  GENDER REQUIRED Please fill out this field.
  
  GRADE REQUIRED Please fill out this field.
  
  SCHOOL ATTENDING REQUIRED Please fill out this field. Please enter valid data.
  
  DATE OF BIRTH REQUIRED Please fill out this field. Please enter a date.
  
  BIRTH PLACE, City & State REQUIRED Please fill out this field. Please enter valid data.
  
  RELIGION REQUIRED Please fill out this field. Please enter valid data.
  
  SACRAMENTS REQUIRED
  Check sacraments this student has received.
  BAPTISM PENANCE 1st COMMUNION CONFIRMATION NONE Please fill out this field.
  
  LIST PLACE EACH SACRAMENT WAS PERFORMED
  
  HEALTH PROBLEMS/ALLERGIES:
  
  STUDENT 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  NICKNAME Please enter valid data.
  
  GENDER REQUIRED Please fill out this field.
  
  GRADE REQUIRED Please fill out this field.
  
  SCHOOL ATTENDING REQUIRED Please fill out this field. Please enter valid data.
  
  DATE OF BIRTH REQUIRED Please fill out this field. Please enter a date.
  
  BIRTH PLACE, City & State REQUIRED Please fill out this field. Please enter valid data.
  
  RELIGION REQUIRED Please fill out this field. Please enter valid data.
  
  SACRAMENTS REQUIRED
  Check sacraments this student has received.
  BAPTISM PENANCE 1st COMMUNION CONFIRMATION NONE Please fill out this field.
  
  LIST PLACE EACH SACRAMENT WAS PERFORMED
  
  HEALTH PROBLEMS/ALLERGIES:
  
  STUDENT 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  NICKNAME Please enter valid data.
  
  GENDER REQUIRED Please fill out this field.
  
  GRADE REQUIRED Please fill out this field.
  
  SCHOOL ATTENDING REQUIRED Please fill out this field. Please enter valid data.
  
  DATE OF BIRTH REQUIRED Please fill out this field. Please enter a date.
  
  BIRTH PLACE, City & State REQUIRED Please fill out this field. Please enter valid data.
  
  RELIGION REQUIRED Please fill out this field. Please enter valid data.
  
  SACRAMENTS REQUIRED
  Check sacraments this student has received.
  BAPTISM PENANCE 1st COMMUNION CONFIRMATION NONE Please fill out this field.
  
  LIST PLACE EACH SACRAMENT WAS PERFORMED
  
  HEALTH PROBLEMS/ALLERGIES:
- EMERGENCY CONTACT INFORMATION
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  RELATIONSHIP REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- I PLAN TO PAY BY: REQUIRED Please fill out this field.
Submit

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