Religious Education Registration Form 2024-2025

Religious Education Registration Form
- Father's Name*
  
  First NameMiddle NameLast NameSuffix
- Mother's Name*
  
  First NameMiddle NameLast NameMaiden
- Father's Email
  example@example.com
- Father's Phone Number
- Mother's Email
  example@example.com
- Mother's Phone Number
- Student's Name*
  
  First NameMiddle NameLast NameMaiden
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Birth Date*
  
  MonthDayYear
- Place of Birth (city & state)*
- Gender*
- Grade entering in fall 2025*
- Health Issues?*
- Is your child Catholic?*
- If no, please explain
- Has your student had any previous religious education?*
- If yes, where?*
- Has your child been baptized in the Catholic Church?*
- If yes, where? (Name & City of Church)*
- Date of Baptism
  
  MonthDayYear
  Date
- Has your child received First Communion in the Catholic Church?*
- If yes, where?(Name & City of Church)*
- Date of First Communion
  
  MonthDayYear
  Date
- Confirmation is a two year program. Has your child completed Confirmation prep Year 1*
- If yes, where?(Name & City of Church)*
- Safe Environment Training for Students
- Do you give permission for your student to attend "Empowering God's Children Safety Program during CCD? (This program provides safety education for children about child sexual abuse; this is not a sex ed class)*
- If you answered no, a opt-out form will be emailed to you and will need to be returned before the day of the class.
- Emergency Contact
  
  First NameLast Name
- Relationship
  ex. Father, Mother, etc.
- Phone Number Of Person To Contact In Case Of Emergency
  Please enter a valid phone number.
- Emergency Contact
  
  First NameLast Name
- Relationship
  ex. Father, Mother, etc.
- Phone Number Of Person To Contact In Case Of Emergency
  Please enter a valid phone number.
- If your student was Baptized and received First Communion at a Catholic Church other than Infant Jesus, please upload certificates below.
- Baptism Certificate
  
  Cancelof
- First Communion Certificate
  
  Cancelof
- You will be redirected to the J-H Form and then redirected to the Vanco payment site.
  
  PLEASE DO NOT CLOSE OUT THE BROWSER FOLLOW ALL PROMPTS!
- Should be Empty:

Religious Education Registration Form

Safe Environment Training for Students