Registration for Religious Education
St. Mary Catholic Church ~ Pensacola, Florida
Family Last Name
*
Primary Phone Number
*
-
Area Code
Phone Number
home
cell
Children living with:
*
both parents
mother
father
Other
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
We can help with:
teacher/aid
set/clean up
laundry
call-throughs
office help
technology assistance
praying for St. Mary's REP
Other
Please list all adults allowed to pick up children
Please verify that you are human
*
Father's Information
Father's Name
First Name
Last Name
Father's Religion
Father's Email
example@example.com
Father's Phone
-
Area Code
Phone Number
Mother's Information
Mother's Name
First Name
Last Name
Mother's Religion
Mother's Email
example@example.com
Mother's Phone
-
Area Code
Phone Number
Child #1
Child's Name
*
First Name
Last Name
Entering Grade (for the 2021-2022 school year)
*
preK or younger
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade / Freshman
10th grade / Sophomore
11th grade / Junior
12th grade / Senior
School
*
Date of Birth
*
-
Month
-
Day
Year
Date
Sacraments Already Received
Baptism
Holy Communion
Confirmation
None
Any special instructions or accommodations needed
Do you have more children to register?
*
Yes
No
Child #2
Child's Name
*
First Name
Last Name
Entering Grade (for the 2021-2022 school year)
*
preK or younger
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade / Freshman
10th grade / Sophomore
11th grade / Junior
12th grade / Senior
School
*
Date of Birth
*
-
Month
-
Day
Year
Date
Sacraments Already Received
Baptism
Holy Communion
Confirmation
None
Any special instructions or accommodations needed
Do you have more children to register?
Yes
No
Child #3
Child's Name
*
First Name
Last Name
Entering Grade (for the 2021-2022 school year)
*
preK or younger
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade / Freshman
10th grade / Sophomore
11th grade / Junior
12th grade / Senior
School
*
Date of Birth
*
-
Month
-
Day
Year
Date
Sacraments Already Received
Baptism
Holy Communion
Confirmation
None
Any special instructions or accommodations needed
Do you have more children to register?
Yes
No
Child #4
Child's Name
*
First Name
Last Name
Entering Grade (for the 2021-2022 school year)
*
preK or younger
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade / Freshman
10th grade / Sophomore
11th grade / Junior
12th grade / Senior
School
*
Date of Birth
*
-
Month
-
Day
Year
Date
Sacraments Already Received
Baptism
Holy Communion
Confirmation
None
Any special instructions or accommodations needed
Registration is $25/1 child, $40/2 children, $50/3 or more children.
Please look for a check from me made out to St. Mary Catholic Church. (These can be brought by the office or on the first day of REP/SMYLE.)
I prefer cash. (Please bring on the first day or contact us to arrange.)
I will pay at another time.
I need St. Mary to cover the cost for my child(ren).
Submit
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