Tri-Parish Catholic Community Religious Education Registration for 2016-2017

 

FAMILY LAST NAME____________________________ HOME PHONE___________________

EMAIL_____________________________________________________

Address__________________________________________________

FATHERS NAME____________________________ Religion__________

Cell Phone_____________________________________

Cell Carrier for Text Message______________________________________
Address if different:______________________________________________

MOTHERS NAME___________________________ Religion_________

Cell Phone______________________________________            

Address if different:____________________________________________

Are you registered members? Yes ____    No ___ Name of Parish:______________________________  

 

STUDENT NAME         GRADE 2016-2017         Birth Date

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

I am interested in becoming a Catechist ______  Assistant Catechist _____ Substitute Catechist _______

I would be interested in attending a Study Group for Adults On Wednesday evening­­­_______

I would be interested in helping lead the group______

Signature _____________________________

I will be returning as a member of the Catechist _______ Assistant Catechist_____

I am signing my child/children up for Religious Education at: (Please check one of the following.)

St. Patrick Religious Education______________   Holy Family Religious Education____________      

 

Signature __________________________________         

We will need Baptismal Record if not baptized at Holy Family, St. Boniface, or St. Patrick.