Family Last Name
*
Parent/Guardian #1
*
First Name
Last Name
Relationship to child:
*
Father
Stepfather
Grandfather
Mother
Stepmother
Grandmother
Other
Religion
*
Marital Status
*
Married
Single
Divorced
Widowed
Other
Street Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Can this number receive text messages?
Yes
No
Email
*
Parent/Guardian #2
First Name
Last Name
Relationship to child:
Father
Mother
Stepfather
Stepmother
Grandfather
Grandmother
Other
Religion
Marital Status
Married
Single
Divorced
Widowed
Other
Phone
(###)
###
####
Can this number receive text messages?
Yes
No
Email
Which church parish are you registered to?
*
St. Margaret Mary
St. Luke the Evangelist
Our Lady of Lourdes
St. Genevieve
Other
We are currently not registered at any parish
In the event of an emergency, if you are unable to be contacted, please indicate the name of another adult that we may contact.
*
First Name
Last Name
Relationship to your child:
*
Phone
*
(###)
###
####
Name of child (1)
*
First Name
Last Name
Gender
*
Male
Female
Birth Date
*
MM
DD
YYYY
School grade for the 2024/2025 year (1)
*
School attending for the 2024/2025 year: (1)
*
Has your child attended any religious education classes before this year? If so, please indicate where and when. (1)
Has your child been baptized?
*
Yes
No
If yes, please indicate the date, name & city of the church where your child received this sacrament. If not, please answer N/A
*
Has your child received the Sacrament of Reconciliation (Also known as First Confession)?
*
Yes
No
Has your child received the Sacrament of First Holy Communion
Yes
No
If yes, please indicate the date, name and city of the church where he/she received the sacrament. If no, please answer N/A
*
Has your child received the Sacrament of Confirmation?
Yes
No
If yes, please indicate the date, name and city of the church where your child received this sacrament. If not, please answer N/A
*
Are there any health concerns or anything else that we should know about your child?
*
Name of child (2)
First Name
Last Name
Gender (2)
Male
Female
Birth Date (2)
MM
DD
YYYY
School grade for the 2024/2025 year (2)
School attending for the 2024/2025 year: (2)
Has your child attended any religious education classes before this year? If so, please indicate where and when. (2)
Has your child been baptized? (2)
Yes
No
If yes, please indicate the date, name and city of the church where he/she was baptized. If not, please answer N/A
(2)
Has your child received the Sacrament of Reconciliation (also known as First Confession)?
Yes
No
Has your child received the Sacrament of First Holy Communion?
Yes
No
If yes, please indicate the date, name and city of the church where he/she was baptized. If not, please answer N/A
(2)
Has your child received the Sacrament of Confirmation?
Yes
No
If yes, please indicate the date, name and city of the church where he/she was baptized. If not, please answer N/A
(2)
Are there any health concerns or anything else that we should know about your child?
Name of child (3)
First Name
Last Name
Gender (3)
Male
Female
Birth Date (3)
MM
DD
YYYY
School grade for the 2024/2025 year (3)
School attending for the 2024/2025 year: (3)
Has your child attended any religious education classes before this year? If so, please indicate where and when. (3)
Has your child been baptized?
Yes
No
If yes, please indicate the date, name and city of the church where he/she was baptized. If not, please answer N/A
(3)
Has your child received the Sacrament of Reconciliation (also known as First Confession)?
Yes
No
Has your child received the Sacrament of First Holy Communion?
Yes
No
If yes, please indicate the date, name and city of the church where he/she was baptized. If not, please answer N/A
(3)
Has your child received the Sacrament of Confirmation?
Yes
No
If yes, please indicate the date, name and city of the church where he/she was baptized. If not, please answer N/A
(3)
Are there any health concerns or anything else that we should know about your child?
Name of child (4)
First Name
Last Name
Gender (4)
Male
Female
Birth Date (4)
MM
DD
YYYY
School grade for the 2024/2025 year (4)
School attending for the 2024/2025 year: (4)
Has your child attended any religious education classes before this year? If so, please indicate where and when. (4)
Has your child been baptized?
Yes
No
If yes, please indicate the date, name and city of the church where he/she was baptized. If not, please answer N/A
(4)
Has your child received the Sacrament of Reconciliation (also known as First Confession)?
Yes
No
Has your child received the Sacrament of First Holy Communion?
Yes
No
If yes, please indicate the date, name and city of the church where he/she was baptized. If not, please answer N/A
(4)
Has your child received the Sacrament of Confirmation?
Yes
No
If yes, please indicate the date, name and city of the church where he/she was baptized. If not, please answer N/A
(4)
Are there any health concerns or anything else that we should know about your child?