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
I would like to get involved as a:

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.
I agree to allow my child's photo to be posted on Parish Social Media Sites:

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?