A reminder that the parish office will be CLOSED on Monday (January 21) in observance of Martin Luther King, Jr. Day.

Religious Education Registration for 2018-19

About the Student
Student(s) Full Name
  •  
Address
  •  
Birth Date
  •  
Age
  •  
Grade
  •  
Sacraments Received
Please answer the questions to the right of each Sacrament, in the box provided. Note: The office will need certificate copies for First Communion and Confirmation students unless received at Holy Name.
Baptism
  •  
Has your child received the sacrament? If so, what Church? When was the sacrament received (date)?
First Eucharist
  •  
Has your child received the sacrament? If so, what Church? When was the sacrament received (date)?
Confirmation
  •  
Has your child received the sacrament? If so, what Church? When was the sacrament received (date)?
Parent(s) and Emergency Contact Information
Mother's Full Name
  •  
Mother's Phone Number --
  •  
Mother's E-mail
  •  
Preferred Contact Method
  •  
Father's Name
  •  
Father's Phone Number --
  •  
Father's E-mail
  •  
Preferred Contact Method
  •  
Emergency Contact Name (non-parent)
  •  
Emergency Contact Phone Number --
  •