Program Registration Form

Star of the Sea Catholic Church Parish School of Religion Registration Form

Fill out the form carefully for registration
Parent Name

First NameMiddle NameLast Name
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent E-mail
Mobile Number
Home Phone Number
Work Phone Number
Emergency Contact Number
Emergency Contact Name
First and Last Name
Catechesis of the Good Shepherd Program
Program Fee $50 per child. Pay by check: Star of the Sea Church Mail check to: 4420 Geary Blvd, San Francisco, CA 94118
Additional Comments
Should be Empty:

Star of the Sea Catholic Church Parish School of Religion Registration Form