26-27 Religious Education Registration Form

Family Last Name

Number of Students in this family you are registering

Nativity Parish Registration Information

Nativity Parish Envelope Number

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent 1

PrefixFirst NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Parent 2

PrefixFirst NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

By E-Signing, you are agreeing that you have read the handbook, will provide the signed form in the handbook on the first day of class, and you understand the terms and conditions for our Religious Education Program at Nativity Catholic Parish.

Student Name

First NameLast Name

Birth Date and Age

Date: MM/DD/YYYYAge

Gender

Student 1 School Grade for 2026-2027

Name of School Attending 2026-2027

Please list any physical/learning/health concerns we should know for the safety and learning experience of your child:

Write N/A if not applicable

2026-2027 Religious Education registration is for:

Has this student attended Religious Education?

Year, Name and Address of parish the student attended Religious Education

Student 1 Sacramental Information

Rows	Received	Church where sacrament was received	Date of Sacrament
Baptism
First Communion
Confirmation

Baptism Information

Rows	Baptized Roman Catholic	Address of Church
Baptism

Name (Student 2)

First NameLast Name

Birth Date and Age (Student 2)

Date: MM/DD/YYYYAge

Gender (Student 2)

(Student 2) School Grade for 2026-2027

(Student 2) Name of School Attending 2026-2027

(Student 2) Please list any physical/learning/health concerns we should know for the safety and learning experience of your child:

Write N/A if not applicable

2026-2027 Religious Education registration is for:

Has this student attended Religious Education?

Year, Name and Address of parish the student attended Religious Education

Student 2 Sacramental Information

Rows	Received	Church where sacrament was received	Date of Sacrament
Baptism
First Communion
Confirmation

Baptism Information

Rows	Baptized Roman Catholic	Address of Church
Baptism

Student 3 Name

First NameLast Name

Birth Date and Age (Student 3)

Date: MM/DD/YYYYAge

Gender (Student 3)

Student 3 School Grade for 2026-2027

Name of School Attending 2026-2027 (Student 3)

Please list any physical/learning/health concerns we should know for the safety and learning experience of your child: (Student 3)

Write N/A if not applicable

2026-2027 Religious Education registration is for:

Has this student attended Religious Education? (Student 3)

Year, Name and Address of parish the student attended Religious Education (Student 3)

Student 3 Sacramental Information

Rows	Received	Church where sacrament was received	Date of Sacrament
Baptism
First Communion
Confirmation

Student 3 Baptism Information

Rows	Baptized Roman Catholic	Address of Church
Baptism

Student 4 Name

First NameLast Name

Birth Date and Age (Student 4)

Date: MM/DD/YYYYAge

Gender (Student 4)

Student 4 School Grade for 2026-2027

Name of School Attending 2026-2027 (Student 4)

Please list any physical/learning/health concerns we should know for the safety and learning experience of your child: (Student 4)

Write N/A if not applicable

2026-2027 Religious Education registration is for:

Has this student attended Religious Education? (Student 4)

Year, Name and Address of parish the student attended Religious Education (Student 4)

Student 4 Sacramental Information

Rows	Received	Church where sacrament was received	Date of Sacrament
Baptism
First Communion
Confirmation

Baptism Information (Student 4)

Rows	Baptized Roman Catholic	Address of Church
Baptism

File Upload

Payment

Registration Payment for Religious Education

Registration

$125.00 Quantity
Item subtotal:

Total

Payment Methods

Credit Card

Apple Pay

Google Pay