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Education Registration

Religious Education Registration Form and Payment

To register children in religious education in our parish, please complete the form below for the family, and add information for each child and then click submit.
Registration Fee: $40 per child with $100 family maximum.
First Eucharist and Confirmation Prep: $80 (includes retreats, robes, prep materials, etc.)
Formulario de inscripción y pago de educación religiosa

Para registrar a los niños en la educación religiosa en nuestra parroquia, complete el siguiente formulario para la familia y agregue información para cada niño y luego haga clic en enviar. Cuota de inscripción: $40 por niño con un máximo familiar de $100. Primera Eucaristía y Preparación de Confirmación: $80 (incluye retiros, túnicas, materiales de preparación, etc.)
The maximum number of form submissions has been reached. This form is currently not available.
- Legal Gaurdian / Guardian legal
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Home Phone Number / Número de teléfono de casa Maximum 20 characters Please enter a phone number.
- Cell Phone Number / Número de teléfono celular REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Work Phone Number / Número de teléfono de trabajo Maximum 20 characters Please enter a phone number.
- Email / Se requiere correo electrónico REQUIRED Please fill out this field. Please enter an email address.
- Address / Dirección REQUIRED Please fill out this field. 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.
- Additional Guardians / Se requieren guardianes adicionales REQUIRED Please fill out this field.
  
  Guardian / Guardián 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.
  
  Cell Phone Number / Número de teléfono celular REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Work Phone Number / Número de teléfono de trabajo Maximum 20 characters Please enter a phone number.
  
  Email / Se requiere correo electrónico REQUIRED Please fill out this field. Please enter an email address.
  
  Address / Dirección Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Guardian / Guardián 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.
  
  Cell Phone Number / Número de teléfono celular REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Work Phone Number / Número de teléfono de trabajo Maximum 20 characters Please enter a phone number.
  
  Email / Se requiere correo electrónico REQUIRED Please fill out this field. Please enter an email address.
  
  Address / Dirección Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
- Emergency Contact (Should not be one of the parents) / Contacto de emergencia (No debe ser uno de los padres)
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship to Child / Relación con el niño requerido REQUIRED Please fill out this field. Please enter valid data.
  
  Best Phone Number / Se requiere el mejor número de teléfono REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Children to Register / Niños para registrarse REQUIRED Please fill out this field.
  
  Child / Niño 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 / Fecha de nacimiento REQUERIDA REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Already Received / Sacramentos ya recibidos REQUERIDOS REQUIRED Baptism / Bautismo Eucharist / Eucaristía Please fill out this field.
  
  Name and Address of Parish where Baptism was received REQUIRED Please fill out this field. Please enter valid data.
  
  Grade attending starting in fall / Grade escolar a partir de otoño REQUIRED Please fill out this field. Please enter an integer (number).
  
  Food allergies or special needs / Alergias a alimentos o necesidades especiales
  
  Child / Niño 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 / Fecha de nacimiento REQUERIDA REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Already Received / Sacramentos ya recibidos REQUERIDOS REQUIRED Baptism / Bautismo Eucharist / Eucaristía Please fill out this field.
  
  Name and Address of Parish where Baptism was received REQUIRED Please fill out this field. Please enter valid data.
  
  Grade attending starting in fall / Grade escolar a partir de otoño REQUIRED Please fill out this field. Please enter an integer (number).
  
  Food allergies or special needs / Alergias a alimentos o necesidades especiales
  
  Child / Niño 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 / Fecha de nacimiento REQUERIDA REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Already Received / Sacramentos ya recibidos REQUERIDOS REQUIRED Baptism / Bautismo Eucharist / Eucaristía Please fill out this field.
  
  Name and Address of Parish where Baptism was received REQUIRED Please fill out this field. Please enter valid data.
  
  Grade attending starting in fall / Grade escolar a partir de otoño REQUIRED Please fill out this field. Please enter an integer (number).
  
  Food allergies or special needs / Alergias a alimentos o necesidades especiales
  
  Child / Niño 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 / Fecha de nacimiento REQUERIDA REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Already Received / Sacramentos ya recibidos REQUERIDOS REQUIRED Baptism / Bautismo Eucharist / Eucaristía Please fill out this field.
  
  Name and Address of Parish where Baptism was received REQUIRED Please fill out this field. Please enter valid data.
  
  Grade attending starting in fall / Grade escolar a partir de otoño REQUIRED Please fill out this field. Please enter an integer (number).
  
  Food allergies or special needs / Alergias a alimentos o necesidades especiales
  
  Child / Niño 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 / Fecha de nacimiento REQUERIDA REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Already Received / Sacramentos ya recibidos REQUERIDOS REQUIRED Baptism / Bautismo Eucharist / Eucaristía Please fill out this field.
  
  Name and Address of Parish where Baptism was received REQUIRED Please fill out this field. Please enter valid data.
  
  Grade attending starting in fall / Grade escolar a partir de otoño REQUIRED Please fill out this field. Please enter an integer (number).
  
  Food allergies or special needs / Alergias a alimentos o necesidades especiales
  
  Child / Niño 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 / Fecha de nacimiento REQUERIDA REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Already Received / Sacramentos ya recibidos REQUERIDOS REQUIRED Baptism / Bautismo Eucharist / Eucaristía Please fill out this field.
  
  Name and Address of Parish where Baptism was received REQUIRED Please fill out this field. Please enter valid data.
  
  Grade attending starting in fall / Grade escolar a partir de otoño REQUIRED Please fill out this field. Please enter an integer (number).
  
  Food allergies or special needs / Alergias a alimentos o necesidades especiales
  
  Child / Niño 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 / Fecha de nacimiento REQUERIDA REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Already Received / Sacramentos ya recibidos REQUERIDOS REQUIRED Baptism / Bautismo Eucharist / Eucaristía Please fill out this field.
  
  Name and Address of Parish where Baptism was received REQUIRED Please fill out this field. Please enter valid data.
  
  Grade attending starting in fall / Grade escolar a partir de otoño REQUIRED Please fill out this field. Please enter an integer (number).
  
  Food allergies or special needs / Alergias a alimentos o necesidades especiales
  
  Child / Niño 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 / Fecha de nacimiento REQUERIDA REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Already Received / Sacramentos ya recibidos REQUERIDOS REQUIRED Baptism / Bautismo Eucharist / Eucaristía Please fill out this field.
  
  Name and Address of Parish where Baptism was received REQUIRED Please fill out this field. Please enter valid data.
  
  Grade attending starting in fall / Grade escolar a partir de otoño REQUIRED Please fill out this field. Please enter an integer (number).
  
  Food allergies or special needs / Alergias a alimentos o necesidades especiales
- Registration Fee / o Cuota de inscripción REQUIRED 40.0 – One Child / Un niño 80.0 – Two Children or One in Sacramental Prep / Dos niños o uno en preparación 100.0 – Family Maximum / Máximo familiar Please fill out this field.
Submit

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St. Joseph and St. Stephen Parish

Worcester, MA

Education Registration

Religious Education Registration Form and Payment

Formulario de inscripción y pago de educación religiosa