Religious Education Registration Form

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Current School Year: August 14, 2022 – June 2, 2023

Student Information

Student Name(Required)
Birth Date(Required)
Father's Name(Required)
Mother's Name(Required)
Sacraments Received(Required)
Check All That Have Been Received for the Student

Emergency Contact Information

Emergency Contact Name(Required)

Additional Information

This field is for validation purposes and should be left unchanged.