Catechism Registration Form

Student Registration Form

Program Starts Sunday October 11, 2026, God willing.
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Father's Name

First NameLast Name
Mother's Name

First NameLast Name
Father email address
example@example.com
Mother email address
example@example.com
Father Mobile
Format: (000) 000-0000.
Mother Mobile
Format: (000) 000-0000.
Courses
Will the Child receive his/her first communion in May, 2027 at St. Anthony?

Other
Special attention

Other
Please define Medical alert
Please define Learning skills
Please define Allergies:

Did the student receive the Sacraments of Initiation?

Student Registration Form