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Form's Instructions
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Our sessions are: |
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-SUNDAY MORNINGS (Grades K, 1*, 2*, 3, 4, 5) at PGC begins Sept 15 9:30am-11:00am
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-TUESDAY AFTERNOONS (Grades 1*, 2*, 3, 4, 5, 6** & 7**) at UGC begins Sept 17 4:15pm-5:30pm
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-TUESDAY EVENINGS (Grades 6**, 7** & 8) at UGC begins Sept 17 7:00pm-8:30pm
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-INTENSIVES (Grades 6**, 7** & 8) at UGC June 17-21 8:45am-12:00pm
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& 6 Sundays (Oct-Mar) 9:00am-11:45am
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* 2nd year registration requires successful completion of 1st year.
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**7th grade registration requires successful completion of 6th grade.
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Families with outstanding balances from the previous year must complete payments before registering.
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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.
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| Student 1 |
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| *First Name |
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*Last Name |
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| *Baptismal Name |
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Preferred Name |
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| *Birth Date |
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*Gender |
Female Male |
| *Grade in School |
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*School |
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*RE Grade |
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*Religion |
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*Class Choice |
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*Custody |
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Sacraments |
Name |
Received |
Date |
Place |
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Baptism |
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First Communion |
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Confirmation |
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Reconciliation |
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Student Information |
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*Years/Gr of RE |
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Learning Needs |
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Specific Info |
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Other Concerns |
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Non-parent Emergency Contact |
| Title |
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First Name |
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Last Name |
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Relationship |
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Contact Information |
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Phone Numbers |
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*Primary |
( )
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Unlisted
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Other |
( )
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Unlisted
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Email Address |
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*Email |
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| Parishioner?
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New Family
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Update Existing Family
- Parishioner #
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| Guardian #1 |
| *Title |
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*First Name |
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*Last Name |
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Suffix |
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| *Relationship |
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Maiden Name |
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| *Gender |
Female Male |
| *Marital Status |
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*Religion |
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*Preferred Phone |
( )
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Unlisted
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*Email |
Unlisted
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Send Email Instead of Mail When Possible |
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Guardian #2 |
| Title |
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First Name |
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Last Name |
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Suffix |
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| Relationship |
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Maiden Name |
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| Gender |
Female Male |
| Marital Status |
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Religion |
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Preferred Phone |
( )
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Unlisted
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Email |
Unlisted
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Send Email Instead of Mail When Possible |
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Family Address |
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*Line 1 |
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Line 2 |
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*City |
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*State |
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*ZIP |
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Family Phone Numbers |
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*Primary |
( )
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Unlisted
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Other |
( )
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Unlisted
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Family Email Address |
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*Email |
Unlisted
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Send Email Instead of Mail When Possible |
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Fee Total = $0.00 |
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Family Remarks |
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Remarks |
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