Holy Spirit / St Margaret’s Religious Education Registration Form

2021-2022

 

 

Student Last Name  _____________________First Name _______________________

 

Address _______________________________________    Zip Code________________

 

Date of Birth _____________________________Phone # _________________

 

School Presently Attending :_________________________________________Grade______

 

 

Father ________________________Phone #_________ Cell#____________

Religion ________________

 

Mother (Include Maiden Name)_______________________  _____________________________

Phone #_________                         Cell # ___________

Religion ________________

 

           

Are you a registered member of Holy Spirit? _____  or St.Margaret’s?_____________

 

If parents are separated or divorced, please give the name, address, and phone number of the non-custodial parent.

 

Name _________________________________________   Phone __________________

Address _______________________________________    Zip Code________________

 

Does your child have any allergies that we should know of/ ________

If so, what is the allergy? __________________________________________

 

Emergency Name ________________________________

Phone #__________________Relation __________________

 

 

Do you wish to receive notices by text   Y   N  or e-mail ? __________________

                                                                                                            Email address

 

 

For Religious Ed Office:

Check # _____________________  Cash ______________________

Baptismal Certificate on File : _____