Religious Education Registration Form

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Religious Education Registration Form

Religious Education Registration Form (K-8)

Church where you are currently registered

St. Joseph Maumee

Other

We plan to complete our Religious Education Classes via

St. Joseph on Sunday mornings

Homeschooling

First Name:

Family Last Name:

Primary Contact Email:

Primary Contact Phone:

Address Line 1

Address Line 2

City:

State

Zip Code:

Father's First Name

Father's Last Name:

Cell Phone:

Email:

Is father Catholic?

Yes

No

Mother's First Name:

Mother's Last Name:

Mother's Maiden Name:

Cell Phone:

Email:

Is mother Catholic?

Yes

No

How many children would you like to register? Please fill this form out an additional time if you have more than 3 children you are registering.

1

2

3

Child #1 First Name

Date of Birth

Gender

Male

Female

Grade

Date of Baptism

Date of Birth

Gender

Male

Female

Grade

Date of Baptism

Child #3 First Name

Child #3 Last Name

Date of Birth

Gender

Male

Female

Grade

Date of Baptism

Additional info we should know about your child? (Medical, Allergies, etc.)

Emergency Contact Name and Phone Number

I have no other person I wish to be contacted in an emergency.

Thank you for your religious education registration! I will reach out to you if I have any questions about your registration.

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Parish:

104 W Broadway St Maumee, OH 43537

School:

112 W Broadway St Maumee, OH 43537

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