Religious Education Registration

Current Family Information
Child Registration
Credits and Fees
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Family Last Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Registered Parish

Registered Parish (Other)

If your parish is not in the above list, please enter the name of your parish.

PARENT/GUARDIAN 1

First Name

Last Name

Primary Phone Type

Primary Phone Number

Secondary Phone Type

Secondary Phone Number

Relationship to Child(ren)

PARENT/GUARDIAN 2

First Name

Last Name

Primary Phone Type

Primary Phone Number

Secondary Phone Type

Secondary Phone Number

Relationship to Child(ren)

Maiden Name of Child’s Birth Mother (for sacramental records)

With whom do the Students Live? If applicable, note any custodial relationships (name and address)

To Whom Should Correspondence Be Sent?

Family Email Address

May we text you information?

No

Yes

Emergency Contact Information Other Than Parent/Guardian

Full Name

Phone Number

Relationship

Is information submitted above an update to existing information previously shared with the parish?

None of my information has changed

Information such as address, phone number, e-mail address etc. has changed since last year

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