Religious Education Registration Form &lt;div&gt; 2022-23&lt;/div&gt;

FAMILY INFORMATION

Family Last Name REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Emergency Contact (other than parent) REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Phone REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Relationship REQUIRED Please fill out this field. Please enter valid data.

Child Resides With..... REQUIRED Please fill out this field.

Is your family registered with St. Michael Parish REQUIRED Yes No Please fill out this field.

FATHER INFORMATION
Complete address if different than above

Name Please enter valid data.

Address Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Home Phone Please enter valid data.

Cell phone Please enter valid data.

Are you Catholic?

I would like to volunteer Yes

MOTHER INFORMATION
Complete address if different from Family Information

Name Please enter valid data.

Address Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Email REQUIRED Please fill out this field. Please enter an email address.

Home Phone Please enter valid data.

Cell phone Please enter valid data.

Are you Catholic?

I would like to volunteer Yes

PHOTO RELEASE INFORMATION

Our Policy: At our classes, workshops, youth offerings, and other special events, we sometimes take pictures for publicity or to share with parishioners and parents. They may be displayed on our bulletin boards, print publications like our bulletin and flyers, and/or online (our website and Facebook page).

If you do not wish to have pictures of your child(ren) published in any of the above ways, please check the box below.

I Deny Permission I deny permission to St. Michael Parish to publish photos of my child(ren)

Religious Education Registration Form
2022-23

TUITION RATES

Documents

Online Registration

Religious Education Registration Form 2022-23

Religious Education Registration Form
2022-23