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

Other
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?

Other
If not Catholic, what is your religious affiliation?
CHILD INFORMATION
Child 1

First NameLast Name
Date of Birth

MonthDayYear
Date
Gender
Grade Level for 2024-2025 School Year
School
Date of Baptism

MonthDayYear
Date
Was this a Catholic baptism?
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?
CHILD 2
Child 2

First NameLast Name
Date of Birth

MonthDayYear
Date
Gender
Grade Level for 2024-2025 School Year
School
Date of Baptism

MonthDayYear
Date
Was this a Catholic baptism?
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?
CHILD 3
Child 3

First NameLast Name
Date of Birth

MonthDayYear
Date
Gender
Grade Level for 2024-2025 School Year
School
Date of Baptism

MonthDayYear
Date
Was this a Catholic baptism?
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?
Please make checks payable to:

St. Benedict Parish

Religious Education

2215 W. Irving Park Road

Chicago, IL 60618
Type a question
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2024-2025 Religious Education Registration