Parent/Guardian Contact Information:

Please provide contact information for at least one parent/guardian of the child(ren) you are registering

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.
Mobile Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Parent/Guardian Email - Please choose an email that you check frequently Please enter an email address.

Other Parent or Emergency Contact Name and Phone Number Please enter valid data.

Child(ren) reside(s) with: REQUIRED Mother Father Both Parents Other (specify in notes) Please fill out this field.

If other: name & relationship Please enter valid data.

RE Student Information

Number of 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.
- Grade in School REQUIRED Please fill out this field.
- Was this child enrolled in Religious Education last year? REQUIRED Yes No Please fill out this field.
- Is your child baptized? REQUIRED Yes No Please fill out this field.
- Is your child preparing for a sacrament this year? REQUIRED Please fill out this field.
- If preparing for First Communion, I would like to attend classes in REQUIRED English Spanish Does not apply; child will not be attending First Communion classes Please fill out this field.
- Do you agree to accompany your child to Religious Education this year? REQUIRED Yes, a parent will attend. Please fill out this field.
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.
- Grade in School REQUIRED Please fill out this field.
- Was this child enrolled in Religious Education last year? REQUIRED Yes No Please fill out this field.
- Is your child baptized? REQUIRED Yes No Please fill out this field.
- Is your child preparing for a sacrament this year? REQUIRED Please fill out this field.
- If preparing for First Communion, I would like to attend classes in REQUIRED English Spanish Does not apply; child will not be attending First Communion classes Please fill out this field.
- Do you agree to accompany your child to Religious Education this year? REQUIRED Yes, a parent will attend. Please fill out this field.
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.
- Grade in School REQUIRED Please fill out this field.
- Was this child enrolled in Religious Education last year? REQUIRED Yes No Please fill out this field.
- Is your child baptized? REQUIRED Yes No Please fill out this field.
- Is your child preparing for a sacrament this year? REQUIRED Please fill out this field.
- If preparing for First Communion, I would like to attend classes in REQUIRED English Spanish Does not apply; child will not be attending First Communion classes Please fill out this field.
- Do you agree to accompany your child to Religious Education this year? REQUIRED Yes, a parent will attend. Please fill out this field.
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.
- Grade in School REQUIRED Please fill out this field.
- Was this child enrolled in Religious Education last year? REQUIRED Yes No Please fill out this field.
- Is your child baptized? REQUIRED Yes No Please fill out this field.
- Is your child preparing for a sacrament this year? REQUIRED Please fill out this field.
- If preparing for First Communion, I would like to attend classes in REQUIRED English Spanish Does not apply; child will not be attending First Communion classes Please fill out this field.
- Do you agree to accompany your child to Religious Education this year? REQUIRED Yes, a parent will attend. Please fill out this field.

Please Select Your Payment Option Below REQUIRED Please fill out this field.

St. Louis Catholic Church

Alexandria, VA

RE Registration

religious education Registration

Parent/Guardian Contact Information: