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Re-Registration Form (English)

2017 – 2018 RELIGIOUS EDUCATION PROGRAM RE-REGISTRATION FORM

Only one Re-registration Form must be completed for each family presently registered in our Religious Education Program. This form should only be completed by parents, legal guardians, or other adults legally responsible for religious education.

    Name: Mr. Mrs. Ms. Miss

    Relationship to Child

    Address
    City & State
    Zip Code

    Home Phone
    Mother's Cell Phone
    Father's Cell Phone
    E-Mail Address
    Best Number to Reach You in Case of Emergency On Sunday Mornings

    Please Check One:
    My Child(ren) will be returning for the 2017 – 2018 school year.My Child(ren) will not be returning for the 2017 – 2018 school year. Please briefly state reason below.

    IMPORTANT: Please give the information below as of September 2017.

    IMPORTANT: Please circle the sacraments your son/daughter has received
    (B = Baptism E = Eucharist R = Reconciliation C = Confirmation)

    To update our records, please list any custody issues, health problems, learning difficulties or concerns that may affect each student listed above, even though previously recorded.

    I would like to register a new student. Please send me a form.

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