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Education Registration

Religious Education Registration Form and Payment

To register childre in religious education in our parish, please complete the form below for the family, and add information for each child, select the correct payment amount, and click "Proceed to Payment".
Registration Fee: $40 per child with $100 family maximum.
First Eucharist and Confirmation Prep: $80 (includes retreats, robes, prep materials, etc.)
The maximum number of form submissions has been reached. This form is currently not available.
- Legal Guardian
- 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 Maximum 20 characters Please enter a phone number.
- Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Work Phone Number Maximum 20 characters Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Address 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 REQUIRED Please fill out this field.
  
  Guardian 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 REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Work Phone Number Maximum 20 characters Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  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.
  
  Guardian 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 REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Work Phone Number Maximum 20 characters Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  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.
- Emergency Contact (Should not be one of the parents)
  
  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 REQUIRED Please fill out this field. Please enter valid data.
  
  Best Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Children to Register 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 REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Already Received REQUIRED Baptism Eucharist Please fill out this field.
  
  Parish Name and Address where Baptism was received REQUIRED Please fill out this field. Please enter valid data.
  
  Grade attending starting in fall REQUIRED Please fill out this field. Please enter an integer (number).
  
  Food allergies or special needs
  
  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 REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Already Received REQUIRED Baptism Eucharist Please fill out this field.
  
  Parish Name and Address where Baptism was received REQUIRED Please fill out this field. Please enter valid data.
  
  Grade attending starting in fall REQUIRED Please fill out this field. Please enter an integer (number).
  
  Food allergies or special needs
  
  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 REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Already Received REQUIRED Baptism Eucharist Please fill out this field.
  
  Parish Name and Address where Baptism was received REQUIRED Please fill out this field. Please enter valid data.
  
  Grade attending starting in fall REQUIRED Please fill out this field. Please enter an integer (number).
  
  Food allergies or special needs
  
  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 REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Already Received REQUIRED Baptism Eucharist Please fill out this field.
  
  Parish Name and Address where Baptism was received REQUIRED Please fill out this field. Please enter valid data.
  
  Grade attending starting in fall REQUIRED Please fill out this field. Please enter an integer (number).
  
  Food allergies or special needs
  
  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 REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Already Received REQUIRED Baptism Eucharist Please fill out this field.
  
  Parish Name and Address where Baptism was received REQUIRED Please fill out this field. Please enter valid data.
  
  Grade attending starting in fall REQUIRED Please fill out this field. Please enter an integer (number).
  
  Food allergies or special needs
  
  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 REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Already Received REQUIRED Baptism Eucharist Please fill out this field.
  
  Parish Name and Address where Baptism was received REQUIRED Please fill out this field. Please enter valid data.
  
  Grade attending starting in fall REQUIRED Please fill out this field. Please enter an integer (number).
  
  Food allergies or special needs
  
  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 REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Already Received REQUIRED Baptism Eucharist Please fill out this field.
  
  Parish Name and Address where Baptism was received REQUIRED Please fill out this field. Please enter valid data.
  
  Grade attending starting in fall REQUIRED Please fill out this field. Please enter an integer (number).
  
  Food allergies or special needs
  
  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 REQUIRED Please fill out this field. Please enter a date.
  
  Sacraments Already Received REQUIRED Baptism Eucharist Please fill out this field.
  
  Parish Name and Address where Baptism was received REQUIRED Please fill out this field. Please enter valid data.
  
  Grade attending starting in fall REQUIRED Please fill out this field. Please enter an integer (number).
  
  Food allergies or special needs
- Registration Fee REQUIRED
  40.0 – One Child
  80.0 – Two Children or One in Sacramental Prep
  100.0 – Family Maximum Please fill out this field.
Total:

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- Faith Formation

Holy Family Parish

Worcester MA

Education Registration

Religious Education Registration Form and Payment