RE Registration Form Child 1First name* Last name* Birthday* MM slash DD slash YYYY Grade School Allergy information Any additional information you’d like the religious education program to know about how best to serve your child?Child 2First name Last name Birthday MM slash DD slash YYYY Grade School Allergy information Any additional information you’d like the religious education program to know about how best to serve your child?Child 3First name Last name Birthday MM slash DD slash YYYY Grade School Allergy information Any additional information you’d like the religious education program to know about how best to serve your child?Child 4First name Last name Birthday MM slash DD slash YYYY Grade School Allergy information Any additional information you’d like the religious education program to know about how best to serve your child?Child 5First name Last name Birthday MM slash DD slash YYYY Grade School Allergy information Any additional information you’d like the religious education program to know about how best to serve your child?Parent/Guardian 1First name* Last name* Parent/guardian cell phone*Parent/guardian address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent/guardian email* Parent/guardian 2First name Last name Parent/guardian cell phoneParent/guardian address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent/guardian email How would you like to volunteer to help?TeachAssist a teacherHelp with eventsOtherOther Photo releaseRE staff will occasionally take photos to be used in publications or on the web. Please check "No" if DO NOT consent to your child's image being used in such a manner. Yes No Δ
