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Religious Educaton Registration

- Online Religious Education Registration
  2023-2024
  
  Please fill out the registration form below to register you child (children) for any of the class sessions Grades K - 11 (Confirmation).
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Family Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  Address 2 Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Registered Parish
  If not St. Mary's, please override the text.
  Please enter valid data.
  
  Parent/Guardian 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  (Maiden name) Please enter valid data.
  
  Primary Mobile Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Second Mobile Number Maximum 20 characters Please enter a phone number.
  
  Relationship to Child(ren) Please enter valid data.
  
  Parent/Guardian 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  (Maiden name) Please enter valid data.
  
  Primary Mobile Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Second Mobile Number Maximum 20 characters Please enter a phone number.
  
  Relationship to Child(ren) Please enter valid data.
  
  With whom do the student(s) live? (If applicable, note any custodial relationships - name and address.) Please enter valid data.
  
  To whom should correspondence be sent?
  Enter person and applicable contact information.
  Please enter valid data.
  
  May we text you information? Yes No
  
  Emergency Contact Information Other Than Parent/Guardian
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Is information submitted above an update to existing information previously shared with parish? None of my information has changed Information such as address, phone number, email, etc. has changed since last year.
  
  CHILDREN'S INFORMATION
  Please select the number of children you are registering for religious education classes.
  
  Children REQUIRED
  Please enter the number of children you are registering.
  Please fill out this field.
  
  Child 1
  
  Select a Session REQUIRED Please fill out this field.
  
  Note regarding the session selected (optional) Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Nickname Please enter valid data.
  
  Gender Male Female
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade in School (as of September) REQUIRED Please fill out this field.
  
  Please select the Sacraments the student has celebrated: Baptized First Penance First Communion Confirmation
  
  Returning student? Yes No
  
  Please describe any learning styles, physical restrictions, allergies or life changes your child may be experiencing so we can best assist your child(ren) in the program in the Learning Styles/Health Information box below. Or if you prefer, please call our Office.
  
  Learning Styles/Health Information
  
  Child 2
  
  Select a Session REQUIRED Please fill out this field.
  
  Note regarding the session selected (optional) Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Nickname Please enter valid data.
  
  Gender Male Female
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade in School (as of September) REQUIRED Please fill out this field.
  
  Please select the Sacraments the student has celebrated: Baptized First Penance First Communion Confirmation
  
  Returning student? Yes No
  
  Please describe any learning styles, physical restrictions, allergies or life changes your child may be experiencing so we can best assist your child(ren) in the program in the Learning Styles/Health Information box below. Or if you prefer, please call our Office.
  
  Learning Styles/Health Information
  
  Child 3
  
  Select a Session REQUIRED Please fill out this field.
  
  Note regarding the session selected (optional) Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Nickname Please enter valid data.
  
  Gender Male Female
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade in School (as of September) REQUIRED Please fill out this field.
  
  Please select the Sacraments the student has celebrated: Baptized First Penance First Communion Confirmation
  
  Returning student? Yes No
  
  Please describe any learning styles, physical restrictions, allergies or life changes your child may be experiencing so we can best assist your child(ren) in the program in the Learning Styles/Health Information box below. Or if you prefer, please call our Office.
  
  Learning Styles/Health Information
  
  Child 4
  
  Select a Session REQUIRED Please fill out this field.
  
  Note regarding the session selected (optional) Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Nickname Please enter valid data.
  
  Gender Male Female
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade in School (as of September) REQUIRED Please fill out this field.
  
  Please select the Sacraments the student has celebrated: Baptized First Penance First Communion Confirmation
  
  Returning student? Yes No
  
  Please describe any learning styles, physical restrictions, allergies or life changes your child may be experiencing so we can best assist your child(ren) in the program in the Learning Styles/Health Information box below. Or if you prefer, please call our Office.
  
  Learning Styles/Health Information
  
  Child 5
  
  Select a Session REQUIRED Please fill out this field.
  
  Note regarding the session selected (optional) Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Nickname Please enter valid data.
  
  Gender Male Female
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade in School (as of September) REQUIRED Please fill out this field.
  
  Please select the Sacraments the student has celebrated: Baptized First Penance First Communion Confirmation
  
  Returning student? Yes No
  
  Please describe any learning styles, physical restrictions, allergies or life changes your child may be experiencing so we can best assist your child(ren) in the program in the Learning Styles/Health Information box below. Or if you prefer, please call our Office.
  
  Learning Styles/Health Information
  
  Child 6
  
  Select a Session REQUIRED Please fill out this field.
  
  Note regarding the session selected (optional) Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Nickname Please enter valid data.
  
  Gender Male Female
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade in School (as of September) REQUIRED Please fill out this field.
  
  Please select the Sacraments the student has celebrated: Baptized First Penance First Communion Confirmation
  
  Returning student? Yes No
  
  Please describe any learning styles, physical restrictions, allergies or life changes your child may be experiencing so we can best assist your child(ren) in the program in the Learning Styles/Health Information box below. Or if you prefer, please call our Office.
  
  Learning Styles/Health Information
  
  Child 7
  
  Select a Session REQUIRED Please fill out this field.
  
  Note regarding the session selected (optional) Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Nickname Please enter valid data.
  
  Gender Male Female
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade in School (as of September) REQUIRED Please fill out this field.
  
  Please select the Sacraments the student has celebrated: Baptized First Penance First Communion Confirmation
  
  Returning student? Yes No
  
  Please describe any learning styles, physical restrictions, allergies or life changes your child may be experiencing so we can best assist your child(ren) in the program in the Learning Styles/Health Information box below. Or if you prefer, please call our Office.
  
  Learning Styles/Health Information
  
  Child 8
  
  Select a Session REQUIRED Please fill out this field.
  
  Note regarding the session selected (optional) Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Nickname Please enter valid data.
  
  Gender Male Female
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade in School (as of September) REQUIRED Please fill out this field.
  
  Please select the Sacraments the student has celebrated: Baptized First Penance First Communion Confirmation
  
  Returning student? Yes No
  
  Please describe any learning styles, physical restrictions, allergies or life changes your child may be experiencing so we can best assist your child(ren) in the program in the Learning Styles/Health Information box below. Or if you prefer, please call our Office.
  
  Learning Styles/Health Information
  
  Registration Fee Options REQUIRED 1 Child | $175 2 Children | $275 3 or more Children | $325 Please fill out this field.
  
  Volunteer Opportunities RE Teacher RE Office Assistant
  
  Payment Options REQUIRED Pay Online after Submission Other Please fill out this field.
  
  Upon submission of this registration form, I agree to pay any associated fees related to participation in this Program. If there is a financial hardship, please contact us to make arrangements so that your child(ren) can participate (select “Other” as a Payment Option above). I give permission for my child(ren) to be photographed, or their image recorded for print or electronic use. I understand it is my responsibility to update the parish in the event that I no longer wish to authorize use of photography.
  
  Submit
  
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- Class Sessions
  
  Grades K-1: Promise [Sun 9:45 am, Mon 4 pm & 6:30 pm]
  Grades 2-3: Good News [Sun 9:45 am, Mon 4 pm & 6:30 pm]
  Grades 4-6: Venture [Sun 9:45 am & 6:30 pm, Mon 4 pm & 6:30 pm]
  Grades 7-8: Visions [Sun 9:45 am & 6:30 pm]
  Grade 9: Decisions 1 (Confirmation Prep)* [Sunday 4:30 pm]
  Grade 10: Decisions 2 (Confirmation Prep) {Sunday 6:30 pm, Monday 6:30 pm]
  Grade 11: Confirmation TBD (candidates who completed 2-year confirmation prep)
  
  *Catholic High School Students register for Decisions 2 after completion of 1 year of Catholic High School.
  
  Questions? Please email:
  [email protected]
- Online Payment
  
  Select Fund - CCD Registration Payment