Which program are you signing up for?
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St. Charles Borromeo St. Lawrence
Parent/Guardian Information:
Father's Full Name
Father's Religion
Mother's Full Name
Mother's Religion
Are mother or father interested in volunteering as catechists? Volunteers receive 50% off tuition!
No Yes, both parents Yes, mother Yes, father
Primary Contact Phone
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Primary Contact E-mail
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Secondary Contact Phone
Secondary Contact E-mail
Emergency Contact Full Name
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Emergency Contact Phone
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Residence:
Street Address
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City
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State
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Zip / Postal Code
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If you answered "other" please specify:
Child #1:
Date of Birth
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Grade '25-'26
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1 2 3 4 5 6 7
Place of Birth (City and State)
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Church of Baptism
Location of Baptism
Date of Baptism
Where does your child attend school this year?
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If you answered "no" where did the child receive formation?
If there are any special needs, medical issues, or allergies, please detail them here
Child #2:
Date of Birth
Grade '25-'26
1 2 3 4 5 6 7
Place of Birth (City and State)
Church of Baptism
Location of Baptism
Date of Baptism
Where does your child attend school this year?
If you answered "no" where did the child receive formation?
If there are any special needs, medical issues, or allergies, please detail them here
Date of Birth
Grade '25-'26
1 2 3 4 5 6 7
Place of Birth (City and State)
Church of Baptism
Location of Baptism
Date of Baptism
Where does your child attend school this year?
If you answered "no" where did the child receive formation?
If there are any special needs, medical issues, or allergies, please detail them here
Date of Birth
Grade '25-'26
1 2 3 4 5 6 7
Place of Birth (City and State)
Church of Baptism
Location of Baptism
Date of Baptism
Where does your child attend school this year?
If you answered "no" where did the child receive formation?
If there are any special needs, medical issues, or allergies, please detail them here
Family Covenant:
At your child's baptism you accepted the responsibility for training your children in the practice of the Catholic Faith. The covenant below outlines the responsibilities of parents and Church in raising the child in our Catholic Faith. By submitting this registration form you are agreeing to: 1) attend Sunday Mass each week with your children, 2) provide the opportunity for you and your children to receive the Sacrament of Penance at least once a year, 3) lead and encourage regular prayer at home, 4) assure that your children faithfully attend religious education classes or are prepared, and 5) attend all required parent meetings and workshops.
If you are human, leave this field blank.