Religious Education Registration
*
- required
2009-2010
*
Class Attending:
Sunday
Wednesday
Jr. Youth Group(Middle School)
St. Francis Youth(High School)
RCIC
Home School
Confirmation
Other:
*
Child's Full Name:
Last First Middle
*
Child Birth Date:
mm/dd/yyyy
*
Was the child
enrolled in a
religious education
program last year?
[Select One]
Yes
No
*
Grade in School:
[Select One]
1
2
3
4
5
6
7
8
9
10
11
12
*
Child's School:
Please check the Sacraments this child has received. If not received at St. Francis, give us the name of the church, city and state.
Parents are responsible for providing the certificates of those Sacraments not received at St. Francis.
*
Batism:
[Select One]
Yes
No
Where did the
Baptism take place?
Church name City, State
*
Penance:
[Select One]
Yes
No
Where did the
Penance take place?
Church name City, State
*
Confirmation:
[Select One]
Yes
No
Where did the
Confirmation take
place?
Church name City, State
Father's Full Name:
Father's work phone:
-
-
x
Mother's full name:
Mother's work phone:
-
-
x
*
Mailing address
Street:
*
City:
*
State:
[Select One]
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Family Email address:
Home phone:
-
-
Cell Phone:
-
-
User ID:
This field will be completed by the staff.
*
Image Verification:
Enter the code above.
Form Generated by FORMgen