• Form

• Parents' Names (Both Parents First Name)
  First NameLast Name
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• Mother's Religion
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• Father's Religion
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• Child(ren) live with:
  Please Select Both Parents Father Mother Grandparent Specify Other
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• If parents are divorced, who has legal custody?
  Both parentsFatherMotherN/A
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• Does the non-custodial parent have visitation rights? (If N/A hit next)
  Please Select Yes No
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• Do you consent to the child(ren) being released to the non-custodial parent? (If N/A hit next)
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• Address
  Street Address

  Street Address Line 2

  CityState / Province

  Postal / Zip Code
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• Mother's Cell Phone
  Please enter a valid phone number.
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• Father's Cell Phone
  Please enter a valid phone number.
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• Home Phone
  Please enter a valid phone number.
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• Mother's Email
  example@example.com
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• Father's Email
  example@example.com
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• Which Email or Phone Number would you prefer to get messages at?
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• Student Name #1
  First NameLast Name
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• Male or Female
  Please Select Male Female
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• Date of birth?
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• What Religious Ed Grade will they be in the Fall of 2025? (Example: 1st Grade, 2nd Grade, Sacramental Class)
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• Does the above child have any special needs, such as medical, allergies, learning disabilities, or physical disabilities? If so, please specify.
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• What Sacraments has the child named above received?
  BaptismEucharistPenance/ReconciliationAll of the above
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• If new to the program, Name and City of the Church the above child was baptized and/or received Eucharist and Penance
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• Student Name #2
  First NameLast Name
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• Male or Female
  Please Select Male Female
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• Date of Birth?
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• What Religious Ed Grade will they be in the Fall of 2025? (Example: 1st Grade, 2nd Grade, Sacramental Class)
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• Does the above child have any special needs, such as medical, allergies, learning disabilities, or physical disabilities? If so, please specify.
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• What Sacraments has the child named above received?
  BaptismEucharistPenance/ReconciliationAll of the above
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• If new to the program, Name and City of the Church where the above child was baptized and/or received Eucharist and Penance.
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• Student Name #3
  First NameLast Name
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• Male or Felmale?
  Please Select Male Female
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• Date of Birth?
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• What Religious Ed Grade will they be in the Fall of 2025? (Example: 1st Grade, 2nd Grade, Sacramental Class)
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• Does the above child have any special needs, such as medical, allergies, learning disabilities, or physical disabilities? If so, please specify.
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• What Sacraments has the child named above received?
  BaptismEucharistPenance/ReconciliationAll of the above.
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• If new to the program, Name and City of the Church the above child was baptized and/or received Eucharist and Penance
• Emergency Information & Medical Waiver In the event my child needs to be transported to a hospital and I cannot be reached, I authorize St. Peter the Apostle employees to take the necessary steps so that medical treatment can be rendered quickly. In consideration for making these decisions in my absence, I hereby release and hold harmless St. Peter the Apostle, the Religious Education program, its employees, appointees, and/or volunteers, and the Diocese of Joliet from any liabilities for the events that could occur as a result of this emergency situation. I also consent to my child's receiving any medical treatment deemed necessary by the examining doctor.
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• Doctor's Name and Phone #.
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• What day of Religious Education are you interested in?
  Please Select Wednesday, 5:00 - 6:15 pm Thursday, 6:00 - 7:15 pm
• Tuition Fees - Please select one.
  Please Select 1 Child - $235 1 Child After 7/27/25 - $285 2 Children - $370 2 Children After 7/27/25 - $420 3 or more Children - $420 3 or more Children after 7/25/25 - $470
• Sacramental Fees (First Reconciliation/Holy Communion and/or Confirmation)
  Please Select Holy Communion or Sacramental Class - $50 7th Grade Confirmation - $30 8th Grade Confirmation - $90 Holy Communion Fee & 7th Grade Fee - $80 Holy Communion Fee & 8th Grade Fee $140 7th Grade Fee & 8th Grade Confirmation Fee - $120
• I understand my responsibilities as a Catholic, first catechist to my child or children, and as a parent to attend Mass every week. In signing this form, I am making a commitment to maintain our current weekly attendance at Mass or, if we are not currently doing so, to strive to attend Mass regularly together with my children and to prayerfully seek the help and grace of God to keep my commitments.
• Video and still photographs may be taken during the sessions. This authorization form constitutes permission for my child's participation in the videotape and/or photographs, which may be used for future promotional efforts, including the Diocese of Joliet website.

• Emergency Contact First & Last Name (Other than parent if parent cannot be reached)     
  Area Code   Phone Number   
  Relationship to Child   

• Are your child(ren) allowed to have snacks in the classroom?
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• Please acknowledge that you have been made aware that the following forms are available to read on the parish website at www.stpeteritasca.com and that you understand that you are responsible for becoming familiar with the contents of the documents including: Policy Regarding Sexual Abuse of Minors (revised 2021), Standards of Behavior for Those Working with Minors (revised 2021), St. Peter Parent Handbook including Conduct & Discipline Policies, Parent Guide: Practical Advice for Parents on Preventing Child Sexual Abuse, Parent Guide: Internet Safety for Teens, & Sex and Cell Phones
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