Clone of 2025-2026 Religious Education Registration

2026 - 2027 Religious Education Registration
How Many Children Will You Be Enrolling?
Value 1 - 4
Family Information
Family Last Name
Are You a Registered Parishioner at St. Patrick Church?
Parent Information
I am the Mother, Father, or Guardian? (Who is completing this form)

Other
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Email
example@example.com
My Religion Is:
Child(ren) Lives With:
Please provide us with any relevant information regarding the living situation:
Catechist Appeal
We rely on volunteer catechists for our Religious Education program to enrich the lives of our children. We hope you will consider volunteering to help lead our parish children in their Religious Education experience.
Would you like to consider being a catechist for your child’s class so as to journey in faith together? We appreciate your consideration of this wonderful ministry on behalf of our parish children.
Second Parent Information
Second Parent Is The:

Other
Name

First NameLast Name
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Primary E-mail
Add this email to our database to receive communications from Religious Education?
Religion
Student Registration
- Student Name
  
  First NameLast Name
- Please upload a recent photo of your child
  
  Browse Files
  
  Cancelof
- Gender
- Birth Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- School Grade
  Entering Grades: 1 - 7
- Are you registering for Year 1 or Year 2 of First Communion preparation?
- Year 2 First Communion Sacramental Fee
  
  A $60.00 sacramental fee will be added to your total tuition.
- Day of the Week
  
  Religious Education classes are held on Sunday's from 8:30am - 9:45am and Monday's from 4:30pm - 5:45pm. Please select which day of the week you wish to enroll your child.
- Which day of the week do you wish to enroll your child?
- Sacramental Information
- Is this child Baptized?
- Was this child Baptized in the Catholic Church?
- What church was this child Baptized in?
  
  Other
- Where is the church your child was Baptized in?
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip CodeCountry
- You may continue with the registration process for {student1} but please contact our Religious Education office at (847) 234-2179.
- Please upload a copy of your child's Baptismal Certificate
  
  Browse Files
  We will not accept registrations that do not have a Baptismal Certificate Uploaded. Cancelof
- Has this child received First Reconciliation?
- Has this child received First Communion?
- Health Information
- Does this child have allergies?
- Please list allergies and provide any relevant information
- Does this child have any medical conditions we need to be aware of?
- Please list medical conditions and provide any relevant information
- Does this child have any behavioral conditions (such as ADHD) we need to be aware of?
- Please list behavioral conditions and provide any relevant information
- Emergency Contact & Medical Release
- Emergency Contact Name
  
  First NameLast Name
- Relationship
  I.e. family friend, aunt, neighbor
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Emergency Contact Phone Number
  Format: (000) 000-0000.
- Emergency Contact Email
  example@example.com
- I herby grant permission for my child to be transported via ambulance and/or treated for emergency medical or dental problems if an emergency arises. I accept full responsibility for all medical expenses incurred as a result of my child's participation in this program.
- Medical Release Signature
  
  Please click and hold your mouse while signing
- Name
  
  First NameLast Name
- Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Media Release
- I authorize my child to be enrolled in the 2024-2025 St. Patrick Church's Religious Education program and I hereby grant permission for my child to be photographed and/or video taped during Religious Education activities and while participating in virtual classes online. I understand that my child may decline to be photographed and/or video taped at any time. I further grant permission for the resulting photographs and/or videotaped footage to be edited, if necessary, and then published and/or broadcast for the purpose of promoting the Religious Education program at St. Patrick Church. At no time will your child's name be published in any promotional activities.
- Media Release Signature
  
  Please click and hold your mouse while signing
- Name
  
  First NameLast Name
- Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Communications Release
- St. Patrick Church’s Religious Education program utilizes several computer software apps and web-based services not owned by St. Patrick Church, but by third parties to communicate to our catechists and parents. These include MailChimp, an email broadcast service and Flocknote, a text message and email communications tool (Service Providers).
  
  In order for our catechists and staff to use these programs and services, certain basic personal identifying information, generally parent's name, email address, phone number, and student's school grade (Data), must be provided to the Service Providers. No outside individuals or companies will be able to communicate with our parents and catechists in our Religious Education program. Access to these Service Providers, and our Data, is secured and provided through a St. Patrick Church Administrator account and is managed by St. Patrick Church.
  
  This constitutes your consent for St. Patrick Church to provide limited personal identifying information consisting of parent's first name, last name, email address, cell phone number, and student school grade to the Service Providers. It also constitutes your consent for St. Patrick Church and it’s catechists to utilize these Service Providers to communicate to you regarding relevant Religious Education program information.
  
  This document is being provided through the online registration process, and your electronic signature is required. A copy of this policy statement will be emailed to you upon completion of the online registration process.
  
  If you have questions concerning this agreement, please contact the Ministry Office at St. Patrick Church, at (847) 234-1401.
  
  Parent/Guardian Consent
  
  I hereby state and agree to, that I consent to the collection, use, and disclosure of my personal information (Data) as described.
- Communications Release Signature
  
  Please click and hold your mouse while signing
- Name
  
  First NameLast Name
- Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Student #2 Information
- Student Name
  
  First NameLast Name
- Please upload a recent photo of your child
  
  Browse Files
  
  Cancelof
- Gender
- Birth Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- School Grade
  Entering Grades: 1 - 7
- Are you registering for Year 1 or Year 2 of First Communion preparation?
- Year 2 First Communion Sacramental Fee
  
  A $60.00 sacramental fee will be added to your total tuition.
- Day of the Week
  
  Religious Education classes are held on Monday's and Tuesday's from 4:30pm - 5:45pm. Please select which day of the week you wish to enroll your child.
- Which day of the week do you wish to enroll your child?
- Sacramental Information
- Is this child Baptized?
- Was this child Baptized in the Catholic Church?
- What church was this child Baptized in?
  
  Other
- Where is the church your child was Baptized in?
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip CodeCountry
- You may continue with the registration process for {student1} but please contact our Religious Education office at (847) 234-2179.
- Please upload a copy of your child's Baptismal Certificate
  
  Browse Files
  We will not accept registrations that do not have a Baptismal Certificate Uploaded. Cancelof
- Has this child received First Reconciliation?
- Has this child received First Communion?
- Health Information
- Does this child have allergies?
- Please list allergies and provide any relevant information
- Does this child have any medical conditions we need to be aware of?
- Please list medical conditions and provide any relevant information
- Does this child have any behavioral conditions (such as ADHD) we need to be aware of?
- Please list behavioral conditions and provide any relevant information
- Emergency Contact & Medical Release
- Emergency Contact Name
  
  First NameLast Name
- Relationship
  I.e. family friend, aunt, neighbor
- Emergency Contact Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Emergency Contact Phone Number
  Format: (000) 000-0000.
- Emergency Contact Email
  example@example.com
- I herby grant permission for my child to be transported via ambulance and/or treated for emergency medical or dental problems if an emergency arises. I accept full responsibility for all medical expenses incurred as a result of my child's participation in this program.
- Medical Release Signature
  
  Please click and hold your mouse while signing
- Name
  
  First NameLast Name
- Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Media Release
- I authorize my child to be enrolled in the 2024-2025 St. Patrick Church's Religious Education program and I hereby grant permission for my child to be photographed and/or video taped during Religious Education activities and while participating in virtual classes online. I understand that my child may decline to be photographed and/or video taped at any time. I further grant permission for the resulting photographs and/or videotaped footage to be edited, if necessary, and then published and/or broadcast for the purpose of promoting the Religious Education program at St. Patrick Church. At no time will your child's name be published in any promotional activities.
- Media Release Signature
  
  Please click and hold your mouse while signing
- Name
  
  First NameLast Name
- Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Communications Release
- St. Patrick Church’s Religious Education program utilizes several computer software apps and web-based services not owned by St. Patrick Church, but by third parties to communicate to our catechists and parents. These include MailChimp, an email broadcast service and Flocknote, a text message and email communications tool (Service Providers).
  
  In order for our catechists and staff to use these programs and services, certain basic personal identifying information, generally parent's name, email address, phone number, and student's school grade (Data), must be provided to the Service Providers. No outside individuals or companies will be able to communicate with our parents and catechists in our Religious Education program. Access to these Service Providers, and our Data, is secured and provided through a St. Patrick Church Administrator account and is managed by St. Patrick Church.
  
  This constitutes your consent for St. Patrick Church to provide limited personal identifying information consisting of parent's first name, last name, email address, cell phone number, and student school grade to the Service Providers. It also constitutes your consent for St. Patrick Church and it’s catechists to utilize these Service Providers to communicate to you regarding relevant Religious Education program information.
  
  This document is being provided through the online registration process, and your electronic signature is required. A copy of this policy statement will be emailed to you upon completion of the online registration process.
  
  If you have questions concerning this agreement, please contact the Ministry Office at St. Patrick Church, at (847) 234-1401.
  
  Parent/Guardian Consent
  
  I hereby state and agree to, that I consent to the collection, use, and disclosure of my personal information (Data) as described.
- Communications Release Signature
  
  Please click and hold your mouse while signing
- Name
  
  First NameLast Name
- Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Student #3 Information
- Student Name
  
  First NameLast Name
- Please upload a recent photo of your child
  
  Browse Files
  
  Cancelof
- Gender
- Birth Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- School Grade
  Entering Grades: 1 - 7
- Are you registering for Year 1 or Year 2 of First Communion preparation?
- Year 2 First Communion Sacramental Fee
  
  A $60.00 sacramental fee will be added to your total tuition.
- Day of the Week
  
  Religious Education classes are held on Monday's and Tuesday's from 4:30pm - 5:45pm. Please select which day of the week you wish to enroll your child.
- Which day of the week do you wish to enroll your child?
- Sacramental Information
- Is this child Baptized?
- Was this child Baptized in the Catholic Church?
- What church was this child Baptized in?
  
  Other
- Where is the church your child was Baptized in?
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip CodeCountry
- You may continue with the registration process for {student1} but please contact our Religious Education office at (847) 234-2179.
- Please upload a copy of your child's Baptismal Certificate
  
  Browse Files
  We will not accept registrations that do not have a Baptismal Certificate Uploaded. Cancelof
- Has this child received First Reconciliation?
- Has this child received First Communion?
- Health Information
- Does this child have allergies?
- Please list allergies and provide any relevant information
- Does this child have any medical conditions we need to be aware of?
- Please list medical conditions and provide any relevant information
- Does this child have any behavioral conditions (such as ADHD) we need to be aware of?
- Please list behavioral conditions and provide any relevant information
- Emergency Contact & Medical Release
- Emergency Contact Name
  
  First NameLast Name
- Relationship
  I.e. family friend, aunt, neighbor
- Emergency Contact Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Emergency Contact Phone Number
  Format: (000) 000-0000.
- Emergency Contact Email
  example@example.com
- I herby grant permission for my child to be transported via ambulance and/or treated for emergency medical or dental problems if an emergency arises. I accept full responsibility for all medical expenses incurred as a result of my child's participation in this program.
- Medical Release Signature
  
  Please click and hold your mouse while signing
- Name
  
  First NameLast Name
- Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Media Release
- I authorize my child to be enrolled in the 2024-2025 St. Patrick Church's Religious Education program and I hereby grant permission for my child to be photographed and/or video taped during Religious Education activities and while participating in virtual classes online. I understand that my child may decline to be photographed and/or video taped at any time. I further grant permission for the resulting photographs and/or videotaped footage to be edited, if necessary, and then published and/or broadcast for the purpose of promoting the Religious Education program at St. Patrick Church. At no time will your child's name be published in any promotional activities.
- Media Release Signature
  
  Please click and hold your mouse while signing
- Name
  
  First NameLast Name
- Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Communications Release
- St. Patrick Church’s Religious Education program utilizes several computer software apps and web-based services not owned by St. Patrick Church, but by third parties to communicate to our catechists and parents. These include MailChimp, an email broadcast service and Flocknote, a text message and email communications tool (Service Providers).
  
  In order for our catechists and staff to use these programs and services, certain basic personal identifying information, generally parent's name, email address, phone number, and student's school grade (Data), must be provided to the Service Providers. No outside individuals or companies will be able to communicate with our parents and catechists in our Religious Education program. Access to these Service Providers, and our Data, is secured and provided through a St. Patrick Church Administrator account and is managed by St. Patrick Church.
  
  This constitutes your consent for St. Patrick Church to provide limited personal identifying information consisting of parent's first name, last name, email address, cell phone number, and student school grade to the Service Providers. It also constitutes your consent for St. Patrick Church and it’s catechists to utilize these Service Providers to communicate to you regarding relevant Religious Education program information.
  
  This document is being provided through the online registration process, and your electronic signature is required. A copy of this policy statement will be emailed to you upon completion of the online registration process.
  
  If you have questions concerning this agreement, please contact the Ministry Office at St. Patrick Church, at (847) 234-1401.
  
  Parent/Guardian Consent
  
  I hereby state and agree to, that I consent to the collection, use, and disclosure of my personal information (Data) as described.
- Communications Release Signature
  
  Please click and hold your mouse while signing
- Name
  
  First NameLast Name
- Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Student #4 Information
- Student Name
  
  First NameLast Name
- Please upload a recent photo of your child
  
  Browse Files
  
  Cancelof
- Gender
- Birth Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- School Grade
  Entering Grades: 1 - 7
- Are you registering for Year 1 or Year 2 of First Communion preparation?
- Year 2 First Communion Sacramental Fee
  
  A $60.00 sacramental fee will be added to your total tuition.
- Day of the Week
  
  Religious Education classes are held on Monday's and Tuesday's from 4:30pm - 5:45pm. Please select which day of the week you wish to enroll your child.
- Which day of the week do you wish to enroll your child?
- Sacramental Information
- Is this child Baptized?
- Was this child Baptized in the Catholic Church?
- What church was this child Baptized in?
  
  Other
- Where is the church your child was Baptized in?
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip CodeCountry
- You may continue with the registration process for {student1} but please contact our Religious Education office at (847) 234-2179.
- Please upload a copy of your child's Baptismal Certificate
  
  Browse Files
  We will not accept registrations that do not have a Baptismal Certificate Uploaded. Cancelof
- Has this child received First Reconciliation?
- Has this child received First Communion?
- Health Information
- Does this child have allergies?
- Please list allergies and provide any relevant information
- Does this child have any medical conditions we need to be aware of?
- Please list medical conditions and provide any relevant information
- Does this child have any behavioral conditions (such as ADHD) we need to be aware of?
- Please list behavioral conditions and provide any relevant information
- Emergency Contact & Medical Release
- Emergency Contact Name
  
  First NameLast Name
- Relationship
  I.e. family friend, aunt, neighbor
- Emergency Contact Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Emergency Contact Phone Number
  Format: (000) 000-0000.
- Emergency Contact Email
  example@example.com
- I herby grant permission for my child to be transported via ambulance and/or treated for emergency medical or dental problems if an emergency arises. I accept full responsibility for all medical expenses incurred as a result of my child's participation in this program.
- Medical Release Signature
  
  Please click and hold your mouse while signing
- Name
  
  First NameLast Name
- Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Media Release
- I authorize my child to be enrolled in the 2024-2025 St. Patrick Church's Religious Education program and I hereby grant permission for my child to be photographed and/or video taped during Religious Education activities and while participating in virtual classes online. I understand that my child may decline to be photographed and/or video taped at any time. I further grant permission for the resulting photographs and/or videotaped footage to be edited, if necessary, and then published and/or broadcast for the purpose of promoting the Religious Education program at St. Patrick Church. At no time will your child's name be published in any promotional activities.
- Media Release Signature
  
  Please click and hold your mouse while signing
- Name
  
  First NameLast Name
- Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Communications Release
- St. Patrick Church’s Religious Education program utilizes several computer software apps and web-based services not owned by St. Patrick Church, but by third parties to communicate to our catechists and parents. These include MailChimp, an email broadcast service and Flocknote, a text message and email communications tool (Service Providers).
  
  In order for our catechists and staff to use these programs and services, certain basic personal identifying information, generally parent's name, email address, phone number, and student's school grade (Data), must be provided to the Service Providers. No outside individuals or companies will be able to communicate with our parents and catechists in our Religious Education program. Access to these Service Providers, and our Data, is secured and provided through a St. Patrick Church Administrator account and is managed by St. Patrick Church.
  
  This constitutes your consent for St. Patrick Church to provide limited personal identifying information consisting of parent's first name, last name, email address, cell phone number, and student school grade to the Service Providers. It also constitutes your consent for St. Patrick Church and it’s catechists to utilize these Service Providers to communicate to you regarding relevant Religious Education program information.
  
  This document is being provided through the online registration process, and your electronic signature is required. A copy of this policy statement will be emailed to you upon completion of the online registration process.
  
  If you have questions concerning this agreement, please contact the Ministry Office at St. Patrick Church, at (847) 234-1401.
  
  Parent/Guardian Consent
  
  I hereby state and agree to, that I consent to the collection, use, and disclosure of my personal information (Data) as described.
- Communications Release Signature
  
  Please click and hold your mouse while signing
- Name
  
  First NameLast Name
- Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Tuition
- No child will be denied enrollment in our Religious Education program because of a financial hardship. If you need tuition assistance please call our office at (847) 234-2179.
- Tuition for one child is $475.00 plus any applicable fees.
- Tuition for two children is $700.00 plus any applicable fees.
- Tuition for three or more children is $775.00 plus any applicable fees.
- Registration Summary
- Student Name
  
  First NameLast Name
- School Grade
  Entering Grades: 1 - 7
- Day of Week
- 2nd Grade Sacramental Fee
- Student Name #2
  
  First NameLast Name
- School Grade
  Entering Grades: 1 - 7
- Day of Week
- 2nd Grade Sacramental Fee
- Student Name #3
  
  First NameLast Name
- School Grade
  Entering Grades: 1 - 7
- Day of Week
- 2nd Grade Sacramental Fee
- Student Name #4
  
  First NameLast Name
- School Grade
  Entering Grades: 1 - 7
- Day of Week
- 2nd Grade Sacramental Fee
- Total Tuition and Fees
- These early registration fees are applicable for all payments made by July 1st. After that time, fees will increase $100.
- TUITION AMOUNT
- FEES AMOUNT
- TOTAL TUITON + FEES
- Your Tuition covers the cost of one book. You will be charged for any replacement materials needed.
- Payment
- Please indicate your tuition payment method:
- Mail a check in the amount of {totalTuiton} made payable to:
  'St. Patrick Religious Education'
  
  Please mail your check along with a print out of this form to:
  
  St. Patrick Church
  
  Religious Ed Department
  
  991 S. Waukegan Rd
  
  Lake Forest, IL 60045
  
  Your registration not complete until you've clicked the "Submit" button on this form and your payment has been received.
  
  Once your have clicked "Submit", you will receive an email confirming your registration. You may print your registration form at that time.
- To make your payment of {totalTuiton} please click on the "Pay Via Credit Card Online" link in the confirmation email you will receive after you've submitted this form.
  
  Your registration not complete until you've clicked the "Submit" button on this form and your payment has been received.
- Tuition
- 2nd Grade Sacramental Fees
- Total Tuition + Fees
- Submitting Your Registration
- Please Note:
  - Your registration is not complete until you click the "Submit" button and you see a proceeding "Thank You" page.
  - Only click the "Submit" button once. Clicking more than once may result in multiple registrations being recorded.
  - Once you have clicked "Submit", you will receive an email confirming your registration. If necessary, you may print your registration form at that time.
- Should be Empty:

2026 - 2027 Religious Education Registration

Family Information

Parent Information

Catechist Appeal

Second Parent Information

Student Registration

Emergency Contact & Medical Release

Media Release

Communications Release

Student #2 Information

Emergency Contact & Medical Release

Media Release

Communications Release

Student #3 Information

Emergency Contact & Medical Release

Media Release

Communications Release

Student #4 Information

Emergency Contact & Medical Release

Media Release

Communications Release

Tuition

Registration Summary

Total Tuition and Fees

Payment

Submitting Your Registration