St. Charles Borromeo Religious Education Registration Form 2026-2027
Registration for students in grades 1-10 for religious education and also sacramental preparation for Reconciliation, Eucharist, and Confirmation
Student Information
Student First Name
*
Student Last Name
*
Date of Birth
*
-
Month
-
Day
Year
Date
City and State of Birth
*
Grade
*
Student's grade level beginning August 2026
School
Has your child been baptized?
*
Yes
No
Faith of Baptism:
*
Catholic
Orthodox
Other
Name of Church of Baptism
City and State of Church of Baptism
Approximate Date of Baptism
Date, or year, or how old your child was are all helpful
Other Sacraments Already Received:
Reconciliation
Eucharist
Confirmation
Parent Information
Father's Information
Mother's Information
Family Information
Family/Student Address
*
Street Address
Street Address Line 2
City
State
Postal / Zip Code
If there is a second parental address please enter it here:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
At which parish are you registered?
*
Please Select
St. Charles Borromeo
St. Paul Catholic Center
St. John the Apostle
St. Vincent de Paul
Other
I am not registered at a parish
This is very important as more than one parish uses this program. If you aren't yet registered at a parish, choose 'none'.
Emergency Contact Name
*
First Name
Last Name
Relationship
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Medical Facility
Name of Physician/Pediatrician
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Any Allergies or Medical Conditions?
*
Yes
No
Please give any details we need to know about your child's allergies or medical conditions
Do you want to add something about your child?
I, undersigned, agree with the following statements:
*
I am the parent/guardian of the child indicated above.
If emergency medical care is needed and I am unavailable, I authorize the supervising catechist to seek medical treatment for my child.
I am giving my permission to take my child's pictures for classroom projects.
I am giving my permission for my child's picture to be used in the bulletin and on the church website/newsletter.
I recognize the importance of attend Mass on Sundays and Holy Days and intend to bring my children to Mass on these days to help them to live out their faith.
Submit
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