Saint Andrew Religious Education Registration
Head(s) of Household Information
His information
First Name
Last Name
Her information
First Name
Last Name
Maiden Name
Mailing Address
*
Street Address
Street Address Line 2
City,
State / Province
Postal / Zip Code
Secondary Mailing Address
Street Address
Street Address Line 2
City,
State / Province
Postal / Zip Code
His Cell Phone
*
For first head of household listed
Her Cell Phone
For second head of household listed
His Email
*
For first head of household listed
Her Email
For second head of household listed
l am/we are
*
Married (Catholic)
Married (civilly)
Separated / Divorced
Unmarried
Other Guardian(s)
Other Guardian(s)
Relation to child(ren)
Relation to child(ren)
Does your family plan to take advantage of the childcare being offered during the parent sessions?
*
Yes
No
If yes, how many children will you drop off?
TOTAL
The registration fee is
*
paid via Pushpay
other
If you selected other, please elaborate.
Child Enrollment
I wish to enroll the following child(ren) in the Saint Andrew "A Family of Faith" religious education program:
1) Child's Name
First Name
Last Name
Place / Church of Baptism
Date of Birth
/
Month
/
Day
Year
Date
Place of Birth
Sex
Male
Female
Grade this fall
Allergies
2) Child's Name
First Name
Last Name
Place / Church of Baptism
Date of Birth
/
Month
/
Day
Year
Date
age today
Sex
Male
Female
Grade this fall
Allergies
3) Child's Name
First Name
Last Name
Place / Church of Baptism
Date of Birth
/
Month
/
Day
Year
Date
age today
Sex
Male
Female
Grade this fall
Allergies
4) Child's Name
First Name
Last Name
Place / Church of Baptism
Date of Birth
-
Month
-
Day
Year
Date
age today
Sex
Male
Female
Grade this fall
Allergies
Attach additional information as necessary
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Preview PDF
Submit
Should be Empty: