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RE Registration

- Learning our Faith

Registration Form
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- Father
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Street 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.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Religion REQUIRED Please fill out this field. Please enter valid data.
- Mother
- Same as Father? Yes
- First Name Please enter valid data.
  
  Last Name Please enter valid data.
- Street Address Please enter valid data.
- City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Religion REQUIRED Please fill out this field. Please enter valid data.
- Child(ren) reside(s) with: REQUIRED Both Parents Mother Father Other (specify in notes) Please fill out this field.
- If other: name & relationship Please enter valid data.
- Which section do you prefer? REQUIRED Sunday 10:00-11:15 AM Wednesday 6:45-8 PM Homeschool Please fill out this field.
- Number of students enrolling REQUIRED Please fill out this field.
  
  Child 1
  
  Student's Baptismal Name REQUIRED Please fill out this field. Please enter valid data.
  
  REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Registering for grade REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments already received Baptism Penance Eucharist Confirmation
  
  Child 2
  
  Student's Baptismal Name REQUIRED Please fill out this field. Please enter valid data.
  
  REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Registering for grade REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments already received Baptism Penance Eucharist Confirmation
  
  Child 3
  
  Student's Baptismal Name REQUIRED Please fill out this field. Please enter valid data.
  
  REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Registering for grade REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments already received Baptism Penance Eucharist Confirmation
  
  Child 4
  
  Student's Baptismal Name REQUIRED Please fill out this field. Please enter valid data.
  
  REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Registering for grade REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments already received Baptism Penance Eucharist Confirmation
  
  Child 5
  
  Student's Baptismal Name REQUIRED Please fill out this field. Please enter valid data.
  
  REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Registering for grade REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments already received Baptism Penance Eucharist Confirmation
- Additional information
  Please provide any additional information regarding child(ren)'s health issues, such as allergies, learning disabilities, & other conditions
- I (mother/father) wish to volunteer as... Catechist Classroom Aide Substitute Catechist / Classroom Aide
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St. Louis Catholic Church

Alexandria, VA

RE Registration

Registration Form