CCD Registration 2026 - 2027
St. John Cantius Parish
Student 1: Name:
*
First Name
Last Name
Student 1: Class
*
First Communion (Ages 7 - 8)
Old Testament (Ages 8 - 9)
New Testament (Ages 9 - 10)
Confirmation A (Ages 10 - 11)
Confirmation B (Ages 11 - 12) *Must have completed Confirmation A
Student 1: Date of Birth
*
-
Month
-
Day
Year
Date
Student 1: Age
*
Family Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student 1: School Attending
*
Student 1: Grade
*
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Family's Current Parish
*
Mother's Name
*
First Name
Last Name
Mother's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Mother's Email
Father's Name
*
First Name
Last Name
Father's Email
Father's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Guardian's Name (if different from Mother/Father)
First Name
Last Name
Parent/Guardian's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian's Primary email
*
Please use the email that you actively check - Class Cancellations & Assignments will be sent to this email
Student 1: Does this student have any special needs? If so, please explain.
*
Student 1: Has this student attended any formal religious education program? If so, please explain.
*
Student 1: Are there any known activities/vacations that will prevent your child from attending class? If so, please specify them below.
*
Student 1: Where was this student baptized?
*
Student 1: Where did this student receive First Communion?
*
If not applicable type n/a.
Student 1: Where did this student receive Confirmation
*
If not applicable type n/a
Are you registering additional students?
*
Yes
No
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Student 2: Name
*
First Name
Last Name
Student 2: Class
*
First Communion (Ages 7-8)
Old Testament (Ages 8-9)
New Testament (Ages 9-10)
Confirmation A (Ages 10-11)
Confirmation B (Ages 11-12) *Must have completed Confirmation A
Student 2: Date of Birth
*
-
Month
-
Day
Year
Date
Student 2: Age
*
Student 2: School Attending
*
Student 2: Grade
*
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Student 2: Does this student have any special needs? If so, please explain.
*
Student 2: Has this student attended any formal religious education program? If so, please explain.
*
Student 2: Are there any known activities/vacations that will prevent your child from attending class? If so, please specify them below.
*
Student 2: Where was this student baptized?
*
Student 2: Where did this student receive First Communion?
*
If not applicable type n/a.
Student 2: Where did this student receive Confirmation
*
If not applicable type n/a
Are you registering additional students?
*
Yes
No
Back
Next
Student 3: Name
*
First Name
Last Name
Student 3: Class
*
First Communion (Ages 7-8)
Old Testament (Ages 8-9)
New Testament (Ages 9-10)
Confirmation A (Ages 10-11)
Confirmation B (Ages 11-12) *Must have completed Confirmation A
Student 3: Date of Birth
*
-
Month
-
Day
Year
Date
Student 3: Age
*
Student 3: School Attending
*
Student 3: Grade
*
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Student 3: Does this student have any special needs? If so, please explain.
*
Student 3: Has this student attended any formal religious education program? If so, please explain.
*
Student 3: Are there any known activities/vacations that will prevent your child from attending class? If so, please specify them below.
*
Student 3: Where was this student baptized?
*
Student 3: Where did this student receive First Communion?
*
If not applicable type n/a.
Student 3: Where did this student receive Confirmation
*
If not applicable type n/a
Are you registering additional students?
*
Yes
No
Back
Next
Student 4: Name
*
First Name
Last Name
Student 4: Class
*
First Communion (Ages 7-8)
Old Testament (Ages 8-9)
New Testament (Ages 9-10)
Confirmation A (Ages 10-11)
Confirmation B (Ages 11 - 12) *Must have completed Confirmation A
Student 4: Date of Birth
*
-
Month
-
Day
Year
Date
Student 4: Age
*
Student 4: School Attending
*
Student 4: Grade
*
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Student 4: Does this student have any special needs? If so, please explain.
*
Student 4: Has this student attended any formal religious education program? If so, please explain.
*
Student 4: Are there any known activities/vacations that will prevent your child from attending class? If so, please specify them below.
*
Student 4: Where was this student baptized?
*
Student 4: Where did this student receive First Communion?
*
If not applicable type n/a.
Student 4: Where did this student receive Confirmation
*
If not applicable type n/a
Are you registering additional students?
*
Yes
No
Back
Next
Student 5: Name
First Name
Last Name
Student 5: Class
First Communion (Ages 7-8)
Old Testament (Ages 8-9)
New Testament (Ages 9-10)
Confirmation A (Ages 10 - 11)
Confirmation B (Ages 11-12) *Must have completed Confirmation A
Student 5: Date of Birth
-
Month
-
Day
Year
Date
Student 5: Age
Student 5: School Attending
Student 5: Grade
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Student 5: Does this student have any special needs? If so, please explain.
Student 5: Has this student attended any formal religious education program? If so, please explain.
Student 5: Are there any known activities/vacations that will prevent your child from attending class? If so, please specify them below.
Student 5: Where was this student baptized?
Student 5: Where did this student receive First Communion?
If not applicable type n/a.
Student 5: Where did this student receive Confirmation
If not applicable type n/a
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I hereby give my permission for my child to be enrolled into the St. John Cantius Religious Education Program.
*
First Name
Last Name
Payment by?
*
Check*/Cash
Credit Card
*Check payments can be made out to "St. John Cantius Parish", $50 per student.
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