Religious Education Form
One form per family
Family Information
Family Last Name
*
Number of Students in this family you are registering
*
Please Select
1
2
3
4
5
Nativity Church Parishioner
*
Family is registered as a Nativity Parishioner
Family is not registered as Nativity Parishioners, but would like to
Family is not registered as a Nativity Parishioner
Nativity Parish Envelope Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent 1
*
Mr.
Mrs.
Ms.
Miss
Prefix
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Parent 2
Mr.
Mrs.
Ms.
Miss.
Prefix
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
By E-Signing, you are agreeing that you have read the handbook, will provide the signed form in the handbook on the first day of class, and you understand the terms and conditions for our Religious Education Program at Nativity Catholic Church.
*
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Next
Student Information
Student Name
First Name
Last Name
Student 1 Parent's Information
Parents are same as listed above
Different Parent's Name
Birth Date
/
Month
/
Day
Year
Date
Gender
Please Select
Female
Male
Name of School Attending 2024-2025
Student 1 School Grade for 2024-2025
Please Select
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
High School
Please list any physical/learning/health concerns we should know for the safety and learning experience of your child:
Write N/A if not applicable
Student 1 Sacramental Information
Received
Church where sacrament was received
Date of Sacrament
Baptism
First Communion
Confirmation
Baptism Information
Baptized Roman Catholic
Address of Church
Baptism
Yes, child was baptized Roman Catholic
No, child was baptized in other religion
Has this student attended Religious Education?
Please Select
Yes, at Nativity Catholic Church
Yes, at another Catholic Church
No, this is the first year
Name, Year, and Address of parish the student attended Religious Education
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Next
Student Information
Student 2 Name
First Name
Last Name
Student 2 Parent's Information
Parents are same as listed above
Different Parent's Name
Birth Date
/
Month
/
Day
Year
Date
Gender
Please Select
Female
Male
Name of School Attending 2024-2025
Student 2 School Grade for 2024-2025
Please Select
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
High School
Please list any physical/learning/health concerns we should know for the safety and learning experience of your child:
Write N/A if not applicable
Student 2 Sacramental Information
Received
Church where sacrament was received
Date of Sacrament
Baptism
First Communion
Confirmation
Baptism Information
Baptized Roman Catholic
Address of Church
Baptism
Yes, child was baptized Roman Catholic
No, child was baptized in other religion
Has this student attended Religious Education?
Please Select
Yes, at Nativity Catholic Church
Yes, at another Catholic Church
No, this is the first year
Name, Year, and Address of parish the student attended Religious Education
Back
Next
Student Information
Student Name
First Name
Last Name
Student 3 Parent's Information
Parents are same as listed above
Different Parent's Name
Birth Date
/
Month
/
Day
Year
Date
Gender
Please Select
Female
Male
Name of School Attending 2024-2025
Student 3 School Grade for 2024-2025
Please Select
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
High School
Please list any physical/learning/health concerns we should know for the safety and learning experience of your child:
Write N/A if not applicable
Student 3 Sacramental Information
Received
Church where sacrament was received
Date of Sacrament
Baptism
First Communion
Confirmation
Baptism Information
Baptized Roman Catholic
Address of Church
Baptism
Yes, child was baptized Roman Catholic
No, child was baptized in other religion
Has this student attended Religious Education?
Please Select
Yes, at Nativity Catholic Church
Yes, at another Catholic Church
No, this is the first year
Name, Year, and Address of parish the student attended Religious Education
Back
Next
Student Information
Student Name
First Name
Last Name
Student 4 Parent's Information
Parents are same as listed above
Different Parent's Name
Birth Date
/
Month
/
Day
Year
Date
Gender
Please Select
Female
Male
Name of School Attending 2024-2025
Student 4 School Grade for 2024-2025
Please Select
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
High School
Please list any physical/learning/health concerns we should know for the safety and learning experience of your child:
Write N/A if not applicable
Student 4 Sacramental Information
Received
Church where sacrament was received
Date of Sacrament
Baptism
First Communion
Confirmation
Baptism Information
Baptized Roman Catholic
Address of Church
Baptism
Yes, child was baptized Roman Catholic
No, child was baptized in other religion
Has this student attended Religious Education?
Please Select
Yes, at Nativity Catholic Church
Yes, at another Catholic Church
No, this is the first year
Name, Year, and Address of parish the student attended Religious Education
Student Information
Student Name
First Name
Last Name
Student 5 Parent's Information
Parents are same as listed above
Different Parent's Name
Birth Date
/
Month
/
Day
Year
Date
Gender
Please Select
Female
Male
Name of School Attending 2024-2025
Student 5 School Grade for 2024-2025
Please Select
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
High School
Please list any physical/learning/health concerns we should know for the safety and learning experience of your child:
Write N/A if not applicable
Student 5 Sacramental Information
Received
Church where sacrament was received
Date of Sacrament
Baptism
First Communion
Confirmation
Baptism Information
Baptized Roman Catholic
Address of Church
Baptism
Yes, child was baptized Roman Catholic
No, child was baptized in other religion
Has this student attended Religious Education?
Please Select
Yes, at Nativity Catholic Church
Yes, at another Catholic Church
No, this is the first year
Name, Year, and Address of parish the student attended Religious Education
Baptism Certificate
Please upload a copy of your child's/children's baptism certificates
File Upload
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Registration
$
125.00
2024-2025
One (1) Child
Two (2) Children
Three (3) Children
Four (4) Children
Five (5) Children
Six (6) Children
Item subtotal:
$
0.00
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