Religious Education for Children 2025 Registration Form

Immaculate Conception Monastery Parish

86-45 Edgerton Blvd + Jamaica NY 11432 + 718-739-0880 + iccjamaica@aol.com
Religious Education for Children

Registration form
Sunday's from 9:00 AM to 11:15 AM
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Student Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of parent (Father)

First NameLast Name
Name of parent (Mother)

First NameLast Name
Parent E-mail
example@example.com
Parent Mobile Number
Format: (000) 000-0000.
Parent alternate/secondary phone (if applicable)
Format: (000) 000-0000.
Emergency Contact

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Email
example@example.com
Name of Church where child was baptized
My child received First Holy Communion
If this is the first time your child is registering for Religious Education at Immaculate Conception, OR if there is no baptism certificate on file please provide a copy of their baptismal certificate.

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Fees for Religious Education (please choose one)
Please be aware that that there will be be additional fees for students who are enrolled for First Commuinion (2nd grade) and Confirmation (8th grade) If your child is in these grades they will be told what the additional fees are.
Check or money order is to be made out to Immaculate Conception Religious Education Office

Fees must be paid in order to complete registration
Parish memberahip
After you submit this form, your child's registraiton request will be be put on file. When the fee is paid in full, they will be officially registered for the program and receive their books and calendar

Parish office is open: Monday-Friday: 9:00 AM to 4:30 PM, Sunday, 10:00 AM to 12 Noon PM, Receptionist office is open Monday-Thursday, 9-8 PM, Friday: 9-6, Satudays from 9:00 AM to 2:00 PM, Sundays: 9:00 AM to 1:00 PM
Should be Empty:

Immaculate Conception Monastery Parish

Religious Education for Children

After you submit this form, your child's registraiton request will be be put on file. When the fee is paid in full, they will be officially registered for the program and receive their books and calendar