CLASS ENROLLMENT

Saint Patrick Parish

Religious Education Registration 2024-2025
Family Information
Family Contact Name*

First NameLast Name
Mother's Information

First NameLast NameMaiden Name
Father's Name

First NameLast Name
Family Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please select the language for correspondence*

EnglishSpanish
Primary Contact Number*

Area CodePhone Number
Cell Phone Number for Calls and Texts *

Area CodePhone Number
What'sApp Number

Area CodePhone Number
Email*
example@example.com
Emergency Contact Name and Relationship to Student*
Emergency Number*

Area CodePhone Number
Student Information
Student's Name*

First NameLast Name
Student's Place of Birth*

Street Address

Street Address Line 2

City/TownUS State / Province

Postal / Zip CodeCountry
Students Date of Birth*

MonthDayYear
If selecting date using calendar use double arrows to change year and single arrows to change month.
Student's Grade in School*
Scroll down to select grade
School currently attending*
Please select language for class*

EnglishSpanish
Special Needs Class*

yesno
Student's Sacrament Information

Please check yes if student has received the sacrament and

no if student has not received the sacrament.
Baptized*

yesno
First Holy Communion*

yesno
Confirmation*

yesno
Comments
Student's Baptism Information
Date of Baptism*

MonthDayYear
Church of Student's Baptism*
If your child was baptized at St. Patrick's Parish in Lawrence, MA you do not need to complete the address information below or provide a Baptism Certificate.

Street Address of Church

Street Address Line 2

CityState / Province

Country
Attach copy of Baptism Certificate

Select File

Cancelof
Should be Empty:

Saint Patrick Parish