Religious Education 2018-2019

St. Joseph Catholic Church

Welcome to Religious Education!
Student's*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Date of Birth*

MonthDayYear
Date
Age
Grade*
Father's

First NameLast Name
Mother's

First NameLast Name
Emergency Contact*

Area CodePhone Number
Emergency Contact*

First NameLast Name
Are you a registered member of St. Joseph Catholic Church?

YesNo
If no, please complete a parish registration form.

Note: Parish registration is required for participation in the St. Joe's Religious Education program.
Has your child been baptized?*

YesNo
Has your child made their First Communion?*

YesNo
Has your child been confirmed?*

YesNo
Allergy or special instructions:
A few more items...............
Photo Consent*

I GRANT permission for St. Joseph to use pictures of my child on their website and other promotional materials.I DO NOT GRANT permission for St. Joseph to use pictures of my child on their website and other promotional materials.
Hand Book

I have read the handbook and agree to the policies. Note, handbook is located on at www.stjoeindy.org
Emergency Treatment Consent*

I authorize emergency treatment if required.
Signature
Should be Empty:

St. Joseph Catholic Church