IMPORTANT
How many people are you registering?
1
2
3
4
Religious Education Registration
General Family Information Preferred Email Address for all Communication
Father's Information
Father's First Name
Father's Last Name
Father's Preferred Phone Number
Mother's Information
Mother's First Name
Mother's Last Name
Mother's Preferred Phone Number
Emergency Contact Information
Emergency Contact Name
Relationship to Child
Emergency Contact Phone Number
I hereby consent to my child/children being interviewed, photographed, and/or videotaped by representatives of St. Joseph Catholic Church, its agents, and independent contractors. Any information or images obtained from those activities may be reproduced by the parish and/or the public media for use in advertising, publicity or educational activities, including, but not limited to, parish publications and/or videos, print and television news and parish websites. I hereby waive any claims I may have and release St. Joseph Catholic Church and its employees from any liability or claims arising out of such activities.
Do you agree with the Media Release Statement above:
Are you Registered Parishioner at St. Joseph
Typing your name below serves as an electronic signature and acknowledgement that you have received this information pertaining to the Religious Education and its programs.
Parent/ Guardian Signature
Information for Child #1 Child's First Name
Child's Last Name
Gender
Birthdate
My Child has Received the Following Sacraments:
Grade or Age as of 8/31/2020
School Attending
Information for Child #2 Child's First Name
Child's Last Name
Gender
Birthdate
My Child has Received the Following Sacraments:
Grade or Age as of 8/31/2020
School Attending
Information for Child #3 Child's First Name
Child's Last Name
Gender
Birthdate
My Child has Received the Following Sacraments:
Grade or Age as of 8/31/2020
School Attending
Information for Child #4 Child's First Name
Child's Last Name
Gender
Birthdate
My Child has Received the Following Sacraments:
Grade or Age as of 8/31/2020
School Attending
The 2020-2021 school year will look a little different. Please read below and look at our website for additional information. As this is a revolving situation with constant changes, please know we are doing our best and if you have any questions please reach out to our office.
Special Circumstances
Please explain any special circumstances indicated above:
Religious Education Fees $65 per student
