Returning Student Registration Form

FAMILY INFORMATION:

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

Email REQUIRED Please fill out this field. Please enter an email address.

Family Home Mailing Address REQUIRED Please fill out this field. Please enter valid data.

P. O. Box (if applicable) Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Home Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Mother's name Please enter valid data.

Mother's Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Mother's Maiden Name Please enter valid data.

Mother's Religion REQUIRED Please fill out this field. Please enter valid data.

Father's Name Please enter valid data.

Father's Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Father's Religion Please enter valid data.

ENTER EACH CHILD IN YOUR FAMILY BELOW:

1. Child's Name REQUIRED Please fill out this field. Please enter valid data.

Religious Education Grade REQUIRED Please fill out this field.

Date of Birth REQUIRED Please fill out this field. Please enter a date.

2020-2021 School Name REQUIRED Please fill out this field. Please enter valid data.

School Grade REQUIRED Please fill out this field. Please enter valid data.

Select the class option you prefer for this student: REQUIRED Please fill out this field.

For in-person classes, which day of the week do you prefer? REQUIRED Monday Thursday Please fill out this field.

2. Child's Name Please enter valid data.

Religious Education Grade

Date of Birth Please enter a date.

2020-2021 School Name Please enter valid data.

School Grade Please enter valid data.

Select the class option you prefer for this student:

For in-person classes, which day of the week do you prefer? Monday Thursday

3. Child's Name Please enter valid data.

Religious Education Grade

Date of Birth REQUIRED Please fill out this field. Please enter a date.

2020-2021 School Name Please enter valid data.

School Grade Please enter valid data.

Select the class option you prefer for this student:

For in-person classes, which day of the week do you prefer? Monday Thursday

4. Child's Name Please enter valid data.

Religious Education Grade

Date of Birth Please enter a date.

2020-2021 School Name Please enter valid data.

School Grade Please enter valid data.

Select the class option you prefer for this student:

For in-person classes, which day of the week do you prefer? Monday Thursday

5. Child's Name Please enter valid data.

Religious Education Grade

Date of Birth Please enter a date.

2020-2021 School Name Please enter valid data.

School Grade Please enter valid data.

Select the class option you prefer for this student:

For in-person classes, which day of the week do you prefer? Monday Thursday

6. Child's Name Please enter valid data.

Religious Education Grade

2020-2021 School Name Please enter valid data.

School Grade Please enter valid data.

Select the class option you prefer for this student:

For in-person classes, which day of the week do you prefer? Monday Thursday

PERMISSIONS

I give my permission for St. John the Evangelist-St. Charles Borromeo Church to photograph or videotape my child/children to be used for internal purposes. Pictures/videos will not be released to the public without specific consent.
(Selecting NO disallows any class picture of use of your child/children's image in any presentation.)

Do you give photo/video permission for your child or children? REQUIRED YES NO Please fill out this field.

I give my permission for my child/children to use the Internet for research and/or assignments. REQUIRED YES NO Please fill out this field.

I give my permission for my phone number to be given to the CRISIS PHONE PERSON for his/her class to be used in an emergency. (Checking NO my hinder our reaching you in an emergency.)

I give permission for my phone number to be given to the CRISIS PHONE PERSON. REQUIRED YES NO Please fill out this field.

St. John the Evangelist-St. Charles Borromeo Parish

Returning Student Registration Form

2020 - 2021 Registration Form for Returning Students

FAMILY INFORMATION:

ENTER EACH CHILD IN YOUR FAMILY BELOW:

PERMISSIONS