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Registration Form

- Religious Education

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- Family Name Please enter valid data.
- Father's Name Please enter valid data.
- Mother's Name Please enter valid data.
- Mailing Address 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.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email Please enter valid data.
- Emergency Phone Numbers:
  
  Mom's Cell/Work Number: Please enter valid data.
  
  Dad's Cell/Work Number: Please enter valid data.
  
  Alternative Contact Name and Number: Please enter valid data.
- Program
  
  Please choose an option: REQUIRED Catechesis of the Good Shepherd (CGS): Ages 3-9, Wednesday's 3:00 - 5:00 pm Catechesis of the Good Shepherd (CGS): Ages 10-12, Wednesday's 3:45 - 5:30 pm Catechesis of the Good Shepherd (CGS): Thursdays, 10:00 am- 12:00 pm Please fill out this field.
- Please fill out the information below for every child you are registering for Religious Education.
- Children REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Age Please enter valid data.
  
  Grade Please enter valid data.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Age Please enter valid data.
  
  Grade Please enter valid data.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Age Please enter valid data.
  
  Grade Please enter valid data.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Age Please enter valid data.
  
  Grade Please enter valid data.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Age Please enter valid data.
  
  Grade Please enter valid data.
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Age Please enter valid data.
  
  Grade Please enter valid data.
  
  Child 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Age Please enter valid data.
  
  Grade Please enter valid data.
  
  Child 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Age Please enter valid data.
  
  Grade Please enter valid data.
  
  Child 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Age Please enter valid data.
  
  Grade Please enter valid data.
  
  Child 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Age Please enter valid data.
  
  Grade Please enter valid data.
- If your child was not baptized at St. Andrew's, St. Patrick's or Our Lady of the Snows, please provide us with a copy of his/her Baptismal Certificate, if you have not already done so.
- Please indicate one of the following for arrival to class: REQUIRED Please fill out this field.
- For pick-up at the end of class, please choose one of the following: REQUIRED Please fill out this field.
- How can we help your child to succeed? If there is any information you would like to share, please let us know:
- Our program does not require a registration fee. We use a cooperative model: the Montessori-inspired Catechesis of the Good Shepherd, the program we use, includes the use of many materials, and so we ask the families to assist in procuring or making the materials, as they are able.
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THE ROMAN CATHOLIC COMMUNITIES OF WATERBURY, WAITSFIELD, AND MORETOWN

St. Andrew's, Our Lady of the Snows, and St. Patrick's

Registration Form

Please fill out the information below for every child you are registering for Religious Education.