Facebook Flocknote YouTube

- Documents
  
  RE Calendar 2022-2023
- Religious Education Registration
  
  Please enter the information below and hit submit. Under comments for each child, please indicate any medical conditions or allergies.
- Parent 1*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Family Contact Email * Maximum 200 characters Please fill out this field. Please enter an email address.
  
  Family Phone * Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Parent 2
  
  First Name Maximum 80 characters Please enter valid data.
  
  Last Name Maximum 80 characters Please enter valid data.
  
  Email Maximum 200 characters Please enter an email address.
  
  Phone Maximum 20 characters Please enter a phone number.
  
  Emergency Contact*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Phone * Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  How many children are you registering? Maximum 10 characters Please enter an integer (number) from 1 to 10.
  
  Child 1*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 2*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 3*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 4*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 5*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 6*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 7*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 8*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 9*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Child 10*
  
  First Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Last Name * Maximum 80 characters Please fill out this field. Please enter valid data.
  
  Date of Birth * Maximum 20 characters Please fill out this field. Please enter a date.
  
  Registering for * Please fill out this field.
  
  Comments
  
  Submit
  
  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
- The maximum number of form submissions has been reached. This form is currently not available.
  
  PERMISSIONS & PAYMENT
  
  Parents, please complete this form for permissions relating to Flocknote messaging and photograph posting then the payment section. Note: You do not have to pay online, you will be given the option to pay in person. Click submit when completed.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Do you give permission for your cell number listed in the Registration Form to be added to the Flocknote messaging system of the parish? REQUIRED Yes No Please fill out this field.
  
  From time to time we take pictures during RE activities. These pictures may appear...
  
  on the parish website
  
  on the parish Facebook page
  
  on the parish bulletin boards
  
  in the parish bulletin
  
  in the diocesan newspaper The Observer/El Observador
  
  Do you grant permission to use these photos as outlined above? REQUIRED Yes No Please fill out this field.
  
  Please complete the payment portion of this form. This will calculate the registration payment due. Click proceed to payment to submit this form.
  
  You may then complete the next page that apepars if you would like to pay online or you may pay by cash or check at the parish office.
  
  Religious Education
  
  Number of First Communion students (if none, enter 0) Please enter an integer (number).
  
  First Communion Fee25.0
  
  Number of First Confirmation students (if none, enter 0) Please enter an integer (number).
  
  Confirmation Fee40.0
  
  Total:
  
  Submit
  
  Proceed to Payment
  
  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

St. Mary Church

Oregon & Polo, IL

Documents

Religious Education Registration