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
Who is responsible for religious education?

Both ParentsFatherMotherGuardian
Who is to receive correspondence?

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: