RE Registration

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. Please enter valid data.

Date of birth: REQUIRED Please fill out this field. Please enter valid data.

Student's address REQUIRED Please fill out this field. Please enter valid data.

Who does the student live with? Parents Mother Father Grandparents Other

Sacraments

Has the student been baptised? REQUIRED Yes No Please fill out this field.
Has the student made their first confession? REQUIRED Yes No Please fill out this field.
Has the student had their First Eucharist? REQUIRED Yes No Please fill out this field.
Is the student Confirmed? REQUIRED Yes No Please fill out this field.

Parent Information - Mother

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Address (if different than student) REQUIRED Please fill out this field. Please enter valid data.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.

Parent Information - Father

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Address (if different than student) REQUIRED Please fill out this field. Please enter valid data.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.

Is your family registered at St. Elizabeth Seton Catholic Church? REQUIRED Yes No Please fill out this field.

Emergency Information

Does your child have any health problems that we should know about? I.e. allergies, diabetes, etc. If yes, explain. REQUIRED Please fill out this field.
List the names of any individuals that you are giving permission to pick up your student if you are unable to do so. Include name, relationship and phone number. REQUIRED Please fill out this field.

Registration Fee $45.00 $ Please enter a positive decimal.

Sacrament Class $30.00 $ Please enter a positive decimal.

In Need of Scholarship REQUIRED Yes No Please fill out this field.

Volunteer

I would like to offer my help as a volunteer REQUIRED Yes No Please fill out this field.
If yes, what would you like to help with? Please enter valid data.
How often can you volunteer? Please enter valid data.