Form's Instructions
|
Our sessions are: |
|
|
|
-SUNDAY MORNINGS (Grades K, 1*, 2*, 3, 4, 5) at PGC begins Sept 16 9:30am-11:00am
|
|
|
|
-TUESDAY AFTERNOONS (Grades 1*, 2*, 3, 4, 5) at UGC begins Sept 18 4:15pm-5:30pm
|
|
|
|
-TUESDAY EVENINGS (Grades 6**, 7**, & 8) at UGC begins Sept 18 7:00pm-8:30pm
|
|
|
|
-INTENSIVES (Grades 6**, 7**, & 8) at UGC June 18-22 8:45am-12:00pm
|
|
& 6 Sundays (Oct-Mar) 9:00am-11:45am
|
|
|
|
* 2nd year registration requires successful completion of 1st year.
|
|
**7th grade registration requires successful completion of 6th grade.
|
|
|
|
Families with outstanding balances from the previous year must complete payments before registering.
|
|
|
|
For more information about payment and our Medical Authorization Form, please see the Registration page on our website. Call the Religious Education office with any questions: 847-234-0090.
|
| |
|
Student 1 |
|
|
*First Name |
|
*Last Name |
|
Suffix |
|
*Baptismal Name |
|
Preferred Name |
|
*Birth Date |
|
*Gender |
Female Male |
*Grade in School |
|
*School |
|
*RE Grade |
|
| |
*Religion |
|
| |
*Class Choice |
|
| |
*Custody |
|
| |
|
|
Sacraments |
Name |
Received |
Date |
Place |
| |
Baptism |
|
|
|
| |
First Communion |
|
|
|
| |
Confirmation |
|
|
|
| |
Reconciliation |
|
|
|
| | |
Student Information |
|
*Years/Gr of RE |
|
|
Learning Needs |
|
|
Specific Info |
|
|
Other Concerns |
|
|
|
Non-Parent Emergency Contact |
Title |
|
*First Name |
|
*Last Name |
|
Suffix |
|
|
*Relationship |
|
|
| | |
Address |
| |
Line 1 |
|
| |
Line 2 |
|
| |
City |
|
| |
State |
|
| |
ZIP |
|
| | |
Phone # (during class time) |
| |
Primary |
( )
-
Unlisted
|
| |
Other |
( )
-
Unlisted
|
| | |
Email Address |
| |
Email |
|
|
Parishioner?
|
New Family
|
Update Existing Family
- Parishioner #
|
| |
|
Guardian #1 |
*Title |
|
*First Name |
|
*Last Name |
|
Suffix |
|
*Relationship |
|
Maiden Name |
|
*Volunteer Spots |
|
*Gender |
Female Male |
*Marital Status |
|
| |
*Religion |
|
| |
| |
| |
*Preferred Phone |
( )
-
Unlisted
|
| |
*Email |
Unlisted
|
|
|
Guardian #2 |
Title |
|
First Name |
|
Last Name |
|
Suffix |
|
Relationship |
|
Maiden Name |
|
Volunteer Spots |
|
Gender |
Female Male |
Marital Status |
|
| |
Religion |
|
| |
| |
| |
Preferred Phone |
( )
-
Unlisted
|
| |
Email |
Unlisted
|
|
| | |
Family Address |
| |
*Line 1 |
|
| |
Line 2 |
|
| |
*City |
|
| |
*State |
|
| |
*ZIP |
|
| |
|
| | |
Family Phone Numbers |
| |
*Primary |
( )
-
Unlisted
|
| |
Other |
( )
-
Unlisted
|
| | |
Family Email Address |
| |
*Email |
Unlisted
|
| | |
Family Remarks |
|
Additional Info |
|
|