Re-Registration Form (English)


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

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.