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Religious Ed Registration Form

- Religious Ed
  - Religious Ed Registration Form

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- 1. Parent or Guardian Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Mailing 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.
- Facebook Contact Name (Optional for group messaging) Please enter valid data.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- 2. Parent or Guardian Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name 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.
- Facebook Contact Name (Optional for group messaging) Please enter valid data.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- STUDENT INFORMATION
  
  If you have a child that will be new to our program this year, please provide us with the child's date and place of Baptism. A Baptism Certificate may be required if your child was not baptized in one of our churches.
- How many children will you be enrolling in our program this year Please enter an integer (number).
- List Children's Name, Grade Level and Gender
- Please list child's name and any medical condition, allergies, medications and other information that we should be aware of to keep your child safe.
- EMERGENCY CONTACT INFORMATION
  
  Please list at least one emergency contact in the event of an emergency and you cannot be reached. (*Other than parent/self)
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  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.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  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.
- MASS ATTENDANCE COVENANT
  
  I understand the impact and importance of faith and spirituality in my child's or children's lives. Thus, I agree to do my utmost to attend Mass every weekend either here or at another Catholic Church with my child or children whom I have registered for CCD. I understand that weekly Mass attendance is a pre-requisite of the Religious Education program, because the grace received at Mass is a necessary component of my child's or children's spiritual formation.
- I Agree Please select this field.
- TUITION & FEES
  
  The suggested tuition rates are below; please pay what you can. No one will ever be turned away due to inability to pay. Tuition helps to cover the cost of student work books, special programs we offer and learning materials.
  
  Single Rate: $25.00 per student Family Rate: $50.00 per family
  Please complete this registration and send payment by October 24th.
  
  You may use one of the methods below to submit payment:
  
  Deliver to the parish and leave with parish secretary.
  
  Mail to : St. John the Baptist Church, ATTN: DRE PO Box 563, Enosburg Falls, VT 05450
  
  Place in the offertory collection at Mass in an envelope marked: CCD Registration
Submit

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St. John the Baptist | St. Anthony | St. Mary Parishes

Enosburg fALLS SHELDON SPRINGS fRANKLIN

Religious Ed Registration Form

1. Parent or Guardian Information

2. Parent or Guardian Information

STUDENT INFORMATION

EMERGENCY CONTACT INFORMATION

MASS ATTENDANCE COVENANT

TUITION & FEES