<div>Holy Cross Catholic Church<br /></div><div><span>Religious Education Registration</span></div>

Family Name REQUIRED Please fill out this field. Please enter valid data.

Father's Name

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Name

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.

Primary Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Other Phone Number Please enter a phone number.

Primary Email REQUIRED Please fill out this field. Please enter an email address.

Other Email Please enter valid data.

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.

Gender REQUIRED Male Female Please fill out this field.

Date of Birth (Month/Date/Year) REQUIRED Please fill out this field. Please enter valid data.

Grade for 2021-2022 School Year (K , 1, 2, 3...) REQUIRED Please fill out this field. Please enter valid data.

Please share any special needs your child has to assist us in serving him/her. For example, health, learning or sacramental.

Child #2

First Name Please enter valid data.

Last Name Please enter valid data.

Gender Male Female

Date of Birth (Month/Date/Year) Please enter valid data.

Grade for 2021-2022 School Year (K, 1, 2, 3...) Please enter valid data.

Please share any special needs your child has to assist us in serving him/her. For example, health, learning or sacramental.

Child #3

First Name Please enter valid data.

Last Name Please enter valid data.

Gender Male Female

Date of Birth (Month/Date/Year) Please enter valid data.

Grade for 2021-2022 School Year (K, 1, 2, 3...) Please enter valid data.

Please share any special needs your child has to assist us in serving him/her. For example, health, learning, or sacramental.

Child #4

First Name Please enter valid data.

Last Name Please enter valid data.

Gender Male Female

Date of Birth (Month/Date/Year) Please enter valid data.

Grade for 2021-2022 School Year (K, 1, 2, 3...) Please enter valid data.

Please share any special needs your child has to assist us in serving him/her. For example, health, learning, or sacramental.

VOLUNTEER OPPORTUNITIES

I would like to volunteer as ... REQUIRED Catechist Assistant Catechist High School Assistant High School Babysitter Office help during weekdays None, I am not able to volunteer at this time. Please fill out this field.

If Catechist or Assistant Catechist, please indicate the grade level preferred. (K, 1, 2, 3...) Please enter valid data.

CHILDCARE SERVICE - We offer childcare while you are attending the parent teaching in the Church each month. Please indicate if you will need this service. REQUIRED YES NO Please fill out this field.

To avoid multiple submissions of your registration form, please only click the SUBMIT button once. You will receive an email confirming your registration has been received. Thank you and God bless your family!

Holy Cross Catholic Church
Religious Education Registration

Please Read Before Completing the Registration

RELIGIOUS EDUCATION REGISTRATION FORM

Holy Cross Catholic ChurchReligious Education Registration

Holy Cross Catholic Church
Religious Education Registration