2023-24 Faith Formation Registration Form

St. Mary Religious Education

School Year 2023-24: $25 per student K-12, $50 for 2nd and 8th Grade Sacramental year due September 10th to the Office, Memo line Religious Ed. *New Students/Kindergarten need to provide Baptismal record. *Kindergarten - 8th grades will be 9:15-10:15 AM each Sunday and High School will be 6:30-8 PM each Sunday.
Guardian 1*

First NameLast Name
Guardian 1 *
Religion
Guardian 2

First NameLast Name
Guardian 2
Religion
Parent E-mail*
example@example.com
Mobile Number*
Additional Mobile Number
Student(s) Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
MarriedSingleDivorcedOther Situation
YesNo
Food Allergies List Whole Family or By Student if they are different.*
Does your child require any classroom modifications? Answer Yes or no and we will contact you for further information
Student 1 Full Name*

First NameMiddle NameLast Name
Student 1 Formal Name for Certificates/Programs*

First NameMiddle NameLast Name
Student 1 Grade Level 2023-24*
Student 1 Birth Date*

MonthDayYear
Students in Program*
Student 2 Full Name

First NameMiddle NameLast Name
Student 2 Formal Name for Certificates/Programs

First NameMiddle NameLast Name
Student 2 Grade Level 2023-24
Student 2 Birth Date

MonthDayYear
Student 3 Full Name

First NameMiddle NameLast Name
Student 3 Formal Name for Certificates/Programs

First NameMiddle NameLast Name
Student 3 Grade Level 2023-24
Student 3 Birth Date

MonthDayYear
Student 4 Full Name

First NameMiddle NameLast Name
Student 4 Formal Name for Certificates/Programs

First NameMiddle NameLast Name
Student 4 Grade Level 2023-24
Student 4 Birth Date

MonthDayYear
Student 5 Full Name

First NameMiddle NameLast Name
Student 5 Formal Name for Certificates/Programs

First NameMiddle NameLast Name
Student 5 Grade Level 2023-24
Student 5 Birth Date

MonthDayYear
Student 6 Full Name

First NameMiddle NameLast Name
Student 6 Formal Name for Certificates/Programs

First NameMiddle NameLast Name
Student 6 Grade Level 2023-24
Student 6 Birth Date

MonthDayYear
Person to contact in case of emergency:*
Non Guardian
Relationship*
ex. Grandparent, friend, neighbor, etc.
Phone Number*
I Grant Medical ConsentNo Medical Consent
I Grant Media ConsentNo Media Consent
I Grant ConsentNo Consent
Cash or check payments can be given to the office or

Online Payments can be made using the Parish E-Giving here https://secure.myvanco.com/YN8D/campaign/C-148W7
Should be Empty:

St. Mary Religious Education