Religious Education Registration Form

Child's First Name *

Gender *

Gender

Male
Female
Prefer not to say
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Has your child been Baptized? *

Yes

No

Date of Birth *

2025-26 Grade Level *

Has your child received First Communion? *

Yes

No

Faith Formation Classes in 2024-25? *

Special Needs *

Primary Guardian/Parent

Full Name Of Primary Guardian/Parent? *

Role *

St. Anthony Parishioner? *

Yes

No

Phone *

Address

Street Address *

City *

State *

Postal code *

Email *

Second Guardian

Is there a Second Guardian? *

Yes

No

Second Guardian Registered St. Anthony Parishioner?

Yes

No

Name of Second Guardian/Parent

Role

Phone

Address

CIty/State/Zip

Emergency Contact

Emergency Contact *

Phone *

Relationship to Student *

Signature

Signature

By entering your first and last name here, you are stating that the above information is accurate and consenting to the submission of this form.

Today's Date *

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