Religious Education Registration Form

This form is required for participation in our Religious Education program, from nursery age to teen. Thank you for your cooperation.

Family Name*
Please give us your Family Name.
Children's Names*
Please give us the name(s) of your child(ren).
Pertinent Information about your Child(ren)
What makes your child(ren) special?
Please tell us a little about your children and what makes them such wonderful people.
Parent/Guardian Name*
First Last
Relationship to child(ren)*
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Interests/Skills
Please indicate any interests or skills you have which you may enjoy sharing with our children.
Parent/Guardian Name
First Last
Relationship to Child
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Interests/Skills
Emergency Contact Name*
First Last
Relationship to Child(ren)*
Emergency Contact Phone*
Emergency Contact #2 Name
First Last
Relationship to Child(ren)
Emergency Contact Phone
Information I would the Director of Religious Education to know about my family
I understand that that regular attendance enhances my child’s religious education. Regular attendance for my child(ren) is likely to be: *
Email
This field is for validation purposes and should be left unchanged.

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