2022-2023 Religious Education Registration

2024-2025 Religious Education Registration

SUNDAYS 8:15-9:45AM - SEPTEMBER 8, 2024 THRU APRIL 13, 2025
FAMILY INFORMATION
Mother's Name*

First NameLast Name
Maiden Name (if applicable)
Mother's Email*
example@example.com
Mother's Phone*

Area CodePhone Number
Father's Name*

First NameLast Name
Father's Email*
example@example.com
Father's Phone*

Area CodePhone Number
Custodial Parent, if different from above

First NameLast Name
Custodial Parent Email
example@example.com
Custodial Parent Phone

Area CodePhone Number
Preferred phone*

Father's PhoneMother's PhoneCustodial ParentOther
Primary Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Secondary Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What best describes your family's religion?*

Both parents are Catholic.One parent is Catholic.Neither parent is Catholic.Other
If not Catholic, what is your religious affiliation?
CHILD INFORMATION
Child 1*

First NameLast Name
Date of Birth

MonthDayYear
Date
Returning StudentStudent
Gender*

MaleFemale
Grade Level for 2024-2025 School Year*
School*
Date of Baptism

MonthDayYear
Date
Was this a Catholic baptism?

YesNoNot Sure
Church of Baptism including City, State
Date of First Reconciliation

MonthDayYear
Date
Church of First Reconciliation including City, State
Date of Frist Communion

MonthDayYear
Date
Church of First Communion including City, State
Any special needs, such as medical, learning disabilities, physical disabilities?
Do you want to register a second child?

YESNO
CHILD 2
Child 2

First NameLast Name
Date of Birth

MonthDayYear
Date
Returning StudentNew Student
Gender

MaleFemale
Grade Level for 2024-2025 School Year
School
Date of Baptism

MonthDayYear
Date
Was this a Catholic baptism?

YesNoNot Sure
Church of Baptism including City, State
Date of First Reconciliation

MonthDayYear
Date
Church of First Reconciliation including City, State
Date of Frist Communion

MonthDayYear
Date
Church of First Communion including City, State
Any special needs, such as medical, learning disabilities, physical disabilities?
Do you want to register a third child?

YESNO
CHILD 3
Child 3

First NameLast Name
Date of Birth

MonthDayYear
Date
Returning StudentNew Student
Gender

MaleFemale
Grade Level for 2024-2025 School Year
School
Date of Baptism

MonthDayYear
Date
Was this a Catholic baptism?

YesNoNot Sure
Church of Baptism including City, State
Date of First Reconciliation

MonthDayYear
Date
Church of First Reconciliation including City, State
Date of Frist Communion

MonthDayYear
Date
Church of First Communion including City, State
Any special needs, such as medical, learning disabilities, physical disabilities?
ON-LINE REGISTRATION AND PAYMENT
CLICK HERE for Fee Computation Form

CLICK HERE to log on to Give Central for Registration and Payment options
Sending a check?

YesNo
Please make checks payable to:

St. Benedict Parish

Religious Education

2215 W. Irving Park Road

Chicago, IL 60618
Type a question
Should be Empty:

2024-2025 Religious Education Registration