Registration Form

Today's Date REQUIRED Please fill out this field. Please enter a date.

Language spoken at home REQUIRED English Spanish Please fill out this field.

Marital Status of Parent(s) / Legal Guardian REQUIRED Single Divorced Separated Civil Marriage Church Marriage Please fill out this field.

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

Father's Name Please enter valid data.

Father's Religion

Mother's Name Please enter valid data.

Mother's Religion

Legal Guardian's Name Please enter valid data.

Legal Guardian's Religion

(Proof of legal guardianship will be required.)

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

Apt/Space/Unit 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.

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

Father's Cell Please enter a phone number.

Mother's Cell Please enter a phone number.

Father's Email Please enter an email address.

Mother's Email Please enter an email address.

Parent(s) / Guardian Information

Please check all that apply.
Baptism Father Mother
First Communion Father Mother
Confirmation Father Mother
Married in the Catholic Church Yes No

Children REQUIRED Please fill out this field.
Child 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birth Date REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED M F Please fill out this field.
- School Grade (2021-2022) REQUIRED Please fill out this field. Please enter an integer (number).
- Date of Baptism or RCIA REQUIRED Please fill out this field. Please enter a date.
- Date of First Communion Please enter a date.
Child 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birth Date REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED M F Please fill out this field.
- School Grade (2021-2022) REQUIRED Please fill out this field. Please enter an integer (number).
- Date of Baptism or RCIA REQUIRED Please fill out this field. Please enter a date.
- Date of First Communion Please enter a date.
Child 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birth Date REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED M F Please fill out this field.
- School Grade (2021-2022) REQUIRED Please fill out this field. Please enter an integer (number).
- Date of Baptism or RCIA REQUIRED Please fill out this field. Please enter a date.
- Date of First Communion Please enter a date.
Child 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Birth Date REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED M F Please fill out this field.
- School Grade (2021-2022) REQUIRED Please fill out this field. Please enter an integer (number).
- Date of Baptism or RCIA REQUIRED Please fill out this field. Please enter a date.
- Date of First Communion Please enter a date.

CONSENT: Please read and by clicking you agree to the following:

1) I agree to attend all required meetings, Sunday masses, retreats that concerns my child’s formation.

2) For the safety of my child/ren I agree to walk and sign in my child/ren to class and pick-up from class.

I Agree Please select this field.