Religious Education Registration

Program Choice

OCIC (Order of Christian Initiation for Children)

First Communion Preparation

Confirmation Preparation

Div line

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Full Name:

Date of Birth:

City & State of Birth:

Grade (if applicable)

School

Participant email

Participant Phone

Street Address

City:

State:

Zip Code

Best Family Contact Email

Best Family Contact Phone

Date of Baptism

Church of Baptism

City of Baptism:

State:

Free Text

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Mother of Participant:

Maiden Name

Mother's Phone

Mother's Email

Father of Participant

Father's Phone

Father's Email

Message: