Religious Ed. Registration 2023-2024

: 2023-2024 Faith Formation Registration
First Name
Last Name
Grade
Male/Female
Birthdate
Birth City & State
School
Parent Email
Primary Address
Father's Name/Guardian 1
Phone #
Mother's Name/Guardian 2
Phone #
If you are a guardian to this child, please state your relation.
Emergency Contact if parent/guardian cannot be reached: Name, Phone,Relation to Student
Allergies/Health Concerns/Special Needs/Anything we should be made aware of? If None please type N/A

Sacraments Received: Please mark all sacraments received
BaptismFirst CommunionConfirmation
Religion Baptized
Was your child baptized here at St. Joseph Catholic Church?
Please enter the name, city, state, where your child was baptized, Along with the date. OR Email a copy of the baptismal certificate.

Permission of Release - Please list the names and contact info of any individual who has permission to drop off/pick up your child. (Parents, grandparents, siblings, etc.)

St. Joseph Catholic Church