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Religious Education Registration Form

Instructions

Please complete this form in full with one exception…For new students enrolling in Sacramental Preparation programs, you must complete the “Sacramental Information” on this form below and provide a copy of your child/teen’s birth certificate and baptism certificate. Returning tudents who have already submitted this information can disregard the sacrament portion of the registration form.

In addition to online registration, please print out, complete and return the pertinent Supplemental Forms located in the right-hand sidebar of the page: permission slip/medical form for your child or teen, the Safeguard the Children Permission Slip and the invoice. Please return these forms with payment by August 31, 2018.

For questions, please email Rosie Roope

2018-2019 Program Fees

  • Sunday School: $75.00/child
  • Religious Education Elementary with Preparation for First Holy Communion (1st – 5th Grade): $120/child
  • Religious Education Elementary, Grades 3rd – 5th (After First Communion): $95/child
  • Confirmation Year I (Teens Entering Confirmation Program), includes Religious Education “Youth Day” Congress Fees: $150/teen
  • Confirmation Year II (Teens Entering Their Second Year in the Confirmation Program): $200/teen 

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 WHO SHOULD REGISTER?

Sunday School (Pre-K & K)

Elementary Grades 1-5 Religious Ed & Sacramental Prep for First Holy Communion

Confirmation Year I

Confirmation Year II

RCIA for Adults & Children over the age of 7 (Becoming Catholic)

Student Information

Class:
*Student's First Name:
Student's Middle Name:
*Student's Last Name:
Any Nicknames?:
Family Email Viewed Most Often:
If in Confirmation, Teen's Email (optional):
*Address:
Apt/Suite/#:
*City:
*State:
*ZIP Code
Birth Date:
Home Phone:
Cell Phone:
Status:
Are you a current registered parishioner?YesNo Your Parish
School Attending:
Grade in the Fall:

Family Information

Adults, if you are registering yourself in preparation of Baptism, Communion or Confirmation, please be sure to fill out parent information as well.

Mother's Full Name:
Mother's Maiden Name:
Mother's Cell Phone:
Mother's Religion:
Father's Full Name:
Father's Cell Phone:
Father's Religion:
Lives with:
If other, please specify name, relationship & contact phone:

Sacramental Information

New incoming students enrolling for sacramental preparation, please be sure to provide a copy of your baptism certificate to our office by the first class date.

Has the student ever been Baptized?
Church of Baptism (full name):
Date of Baptism:
Full Address of Church:
Has the student received Holy Communion?
Church of Holy Communion:
Date of Communion:
Address of Church:
Has the student been Confirmed?
Church where Confirmed:
Date of Confirmation:
Address of Church:

Emergency Contact & Medical Information

If student is under 18, please list those (other than parents/guardians) who will be dropping off and/or picking the student up from classes.

Full Name:
Relationship:
Phone:
Emergency Contact Full Name:
Relationship:
Phone Number:
Doctor's Name:
Doctor's Phone:
Does the student have any allergies (medications, foods, etc)?
NoYesUnk If YES, please explain in detail:
Does the student have any medical concerns or special needs, including medications being used?
NoYes If YES, please explain in detail:

Saint Francis Xavier welcomes you to our community and we appreciate the time you took to fill out our application. Please double check the application for any errors and when complete, click the SUBMIT button below.

Please Prove You're Human: