New Student Registration K-5

New Student Registration (K-5)

Please fill out one form per child

Child Information

* Indicates required field

Child's Name *

First

Last

CCD Grade in August *

CLASS PREFERENCE

Please choose your preferred class time *

Date of Birth *

CHURCH OF BAPTISM, CITY/YEAR *

Copies of Baptismal certificates are required for First Communion (3rd Grade). You may upload a copy of the certificates or bring a copy to the parish office.

Upload Baptismal Certificate Copy *

Max file size: 20MB

Parent Information

Father's Name *

First

Last

Email *

Cell Number *

Mother's Name *

First

Last

Email *

Cell Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

EMERGENCY CONTACTS
Please provide emergency contact

Name *

First

Last

Phone Number *

Relationship *

Registration Fee

$40 for one child
$80 for multiple children

PAYMENT
Please note, if you are entering multiple children please pay once upon last child's registration and indicate all children's names in the comments section. See directions at bottom for making payment.

ONLINE PAYMENT INSTRUCTIONS

Please note... you must return to this page and click the submit button to complete registration

Click HERE to make an online payment. Upon entering the donation page, you will be taken to a login screen. You do not need to register to make an online payment. Scroll down to the "Religious Ed Fees" line and enter the amount. Please type in your Child/Children's name in the comment section.

Click the button below to complete registration

Submit