Religious Education Enrollment Form
2016-2017 Religious Education Year

 

Welcome!  We are pleased to have you join the ICSJ Parish Religious Education program. To register your child(ren), please fill out the form below.  If you have more than one child, fill out Step 1-Child's Information for each child.  You only need to fill out Step 2-Family Information once per family.  After filling out this form a screen will appear to prompt you to submit a tuition payment online. Thank you!

Step 1: Child Information
Child's Name
Child's Name
Child's Birth Date
Child's Birth Date
Grade for 2016-2017 school year
Previous Religious Education Completed
Check all that apply
Please check all sacraments your child has received *
If so, please let us know how we can best help your child in the classroom.
Please list any medical conditions and/or allergies, as well as any medication that is needed.
Step 2: Family Information
Mother's Name
Mother's Name
Father's Name
Father's Name
Primary Phone
Primary Phone
Mother Cell Phone
Mother Cell Phone
Father Cell Phone
Father Cell Phone
I give permission for Immaculate Conception and St. Joseph Parish Religious Education program to take and use photographs, video, and audio or other digital recordings of my child(ren) for public relations purposes, including, but not limited to, use on the parish website, facebook page, the Sunday bulletin, brochures or other publications produced by the Church. I understand that, in use of such materials, my child(ren)'s name(s) will not be disclosed.