Our Lady Queen of the Apostles Catholic Church
 2016-2017 Parish Religious Education Program
 Family Registration Form

Click Submit Form to send this information to Our Lady Queen Of The Apostles.

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*Required fields

Instructions   Please fill out this registration form completely and accurately.
   Choose a class based on your child's 2016-2017 school year.
   Keep in mind that class sizes are limited; therefore, your child's placement may change as classes fill.

Student 1   Type  
Title *First Name *Last Name Suffix
Relationship   Middle Name
Ethnicity *Birth Date *Gender Female   Male
*Grade/Degree   Language
Sacraments   Name Received Date Place
*Baptism
   Confirmation
   First Communion
Class Choices
*Class 1
Student Remarks
*Emergency Contact
  Health Issues
*Allergies
  Other Conditions

*Family Option  New Family Information  Update Existing Family Information ID/Env:  
       Note: Just enter the field(s) that need to be updated.

Head of Household
Title *First Name *Last Name Suffix
Relationship   Middle Name Maiden Name
Ethnicity   Birth Date *Gender Female   Male
Grade/Degree   Language Marital Status
*Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible

Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP
  Parish

Family Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Family Email Address
*Email   Unlisted
Send Email Instead of Mail When Possible


Click Submit Form to send this information to Our Lady Queen Of The Apostles.