PDF Form

St. Isidore - Holy Family Religious Education Registration for 2024 -2025
Mother's Information:
Mother's Name

First NameLast Name
Mother's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother's Email
example@example.com
Mother's Phone Number

Area CodePhone Number
Father's Information:
Father's Name

First NameLast Name
Father's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Father's Phone Number

Area CodePhone Number
Children Reside with:
Both ParentsMother OnlyFather OnlyOther
Emergency Contact:
Name

First NameLast Name
Phone Number

Area CodePhone Number
Relationship:
Tuition Amount
1 child - $202 Children - $353+ Children - $50Post Confirmation - $0
Where to Attend Classes?
St. IsidoreHoly Family
HelperCatechist
Child 1 Information:
Child 1 Name
M/F?
Date of Birth
Fall 2023 Grade Level
Child 2 Information:
Child 2 Name
M/F?
Date of Birth
Fall 2023 Grade Level
Child 3 Information:
Child 3 Name
M/F?
Date of Birth
Fall 2023 Grade Level
Child 4 Information:
Child 4 Name
M/F?
Date of Birth
Fall 2023 Grade Level
REQUIRED FOR NEW PARISHIONERS, KINDERGARTEN, 1ST COMMUNION, RECONCILIATION, & CONFIRMATION STUDENTS:
Baptism Month & Year
Baptismal Parish Name
Baptismal Parish Address
Parental / Guardian Permission
Signature

Clear
Date

MonthDayYear
Date
Medical and Emergency Information
Child Name
Allergy
Specific Medical problems
Physician's Name
Physician's Phone
I grant permission for routine non-surgical medical care to be given to my child or children if deemed advisable by the supervising parish personnel. In case of an emergency, I grant permission to transport my child to the nearest hospital for emergency medical or surgical treatment. I will be contacted as soon as possible and will be advised prior to any further treatment by the hospital or doctor
Signature

Clear
Date

MonthDayYear
Date
Furthermore, I agree that St. Isidore-Holy Family Catholic Church, may use photographs with or without identification for any lawful purpose, including, but not limited to purposes of publicity, illustration, or advertisement.
YesNo
Signature

Clear
Date

MonthDayYear
Date
Printed Name

First NameLast Name
Should be Empty:

St. Isidore - Holy Family Religious Education Registration for 2024 -2025

Where to Attend Classes?