St. Benedict Religious Education
2024/2025 Registration
Student 1
First Name
Last Name
Grade Level
Student 2
First Name
Last Name
Grade Level
Student 3
First Name
Last Name
Grade Level
Student 4
First Name
Last Name
Grade Level
Notes about your student(s) Please use this space for academic needs, allergies, nick name, etc.
Will your child be receiving a sacrament this year? Please list name and sacrament needed
Parent Name
First Name
Last Name
Parent Email
example@example.com
Parent Phone Number
Please enter a valid phone number.
Submit
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