Religious Education Registration


Click Submit Form to send this information to Saint Patrick Catholic Church.

*Required fields

Instructions Please make sure all fields are filled in correctly. Once you have completed the registration process please submit fees to the Religious Education office or Church office. Fees are as follows: $20 each child, or families of 4 or more $70.

Student 1
*First Name *Last Name Suffix
*Relationship   Middle Name   Nickname Maiden Name
*Ethnicity *Birth Date *Gender Female   Male
*Grade *Photos allowed?   Language
  Students cell ( ) - Unlisted
  Students Email   Unlisted
Sacraments   Name Received Date Place
   1st Comm
   Baptism
   Confirm
Ministries   Name Interested in Joining
  
  
*Class Choices
*Class 1

*Family Option  New Family Information  Update Existing Family Information ID/Env:  

Head of Household
Title *First Name *Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
*Ethnicity *Birth Date *Gender Female   Male
  Language Marital Status
*Phone 1 ( ) - Unlisted
  Email 1   Unlisted

Spouse
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
  Language Marital Status
  Phone 1 ( ) - Unlisted
  Email 1   Unlisted

Family Street Address
*Line 1
*City
*State
*ZIP

Family Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Family Email Address
*Email   Unlisted


Click Submit Form to send this information to Saint Patrick Catholic Church.