Religious Education Registration

Family Formation (K-8) and Confirmation Enrollment Form

Father's Name

Phone

Mother's Name

Phone

Street Address

City

Postal / Zip code

Student Name and Grade (List each child)

Does your child have any special learning needs? If yes, please explain.

Does your child have any food allergies? If yes, please indicate what foods.

May your child be included in pictures (i.e. First Holy Communion) that are published on the parish's social or print media?

Child care needed during parent session at Regis? If yes, please list child and age. (There is no charge for child care.)

Thanks for registering.