RELIGIOUS EDUCATION APPLICATION FORM

Kindly fill out the form and submit it. Thank you! The registration fee is $300 per child. Credit cards accepted, cash, and checks. (There will be a $25 bank fee for returned checks.)

Today's Date *
Today's Date
Name of Child *
Name of Child
Was child baptized? *
Did child have First Reconciliation? *
Did child receive First Holy Communion? *
Father's name *
Father's name
Father's cell *
Father's cell
Father's Address *
Father's Address
Mother's first and MAIDEN name *
Mother's first and MAIDEN name
Mother's cell *
Mother's cell
Mother's address *
Mother's address
Would Mother or Father be able/willing to help in the following? *