Saint Mary Parish CCD Registration Form

Saint Mary Parish CCD Registration Form

(English Form) Religious Family Registration - Fee $20
Family Name

First NameLast Name
Child's Name #1

First NameLast Name
Child's Name #2

First NameLast Name
Child's Name #3

First NameLast Name
Child's Name #4

First NameLast Name
Both ParentsFatherMotherGuardian
Both ParentsFatherMotherGuardian
The best way to communicate with my family is via email or phone
example@example.com
The best way to communicate with my family is via email or phone
865-123-4567
Father's Name Last Name Area Code Phone Number Email Street Address Address Line 2 City State Zip Religion Are you a registered parishioner of St. Mary? If not, where?
Mother's Name Last Name Area Code Phone Number Email Street Address Address Line 2 City State Zip Religion Are you a registered parishioner of St. Mary? If not, where?
Guardian's Name Last Name Area Code Phone Number Email Street Address Address Line 2 City State Zip Religion Are you a registered parishioner of St. Mary? If not, where?
In case of emergency if you cannot be reached?
Name, Phone #, relationship to Child
Should be Empty: