Religious Education Registration Form Religious Education Registration Form Religious Education Registration 35 E. Mechanic Street Cape May Court House, NJ 08210 Term: 2020-2021 FAMILY INFORMATIONDate Date Format: MM slash DD slash YYYY Family Last Name:Father's Name:Father's Cell/WorkMother's Name:Mother's Maiden:Mother's Cell/WorkEmail Home PhoneHome Address: Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Emergency Contact First Last Emergency Phone:Both Parents Catholic?YesNoSTUDENT #1 INFORMATIONChild Name:Gender:MaleFemaleBirth Date: Date Format: MM slash DD slash YYYY Grade:123456789101112Catholic?YesNoSarament Details Baptism: Eucharist: Reconciliation Prep: Confirmation: Baptism Date: Date Format: MM slash DD slash YYYY Eucharist Date: Date Format: MM slash DD slash YYYY Reconciliation Prep: Date Format: MM slash DD slash YYYY Confirmation Date: Date Format: MM slash DD slash YYYY Special Needs (Medical, Learning, Disabilities, Physical Disabilities, etc):Do you have more children?YesNoSTUDENT #2 INFORMATIONChild Name:Grade:123456789101112Catholic?YesNoSarament Details Baptism: Eucharist: Reconciliation Prep: Confirmation: Baptism Date: Date Format: MM slash DD slash YYYY Eucharist Date: Date Format: MM slash DD slash YYYY Reconciliation Prep: Date Format: MM slash DD slash YYYY Confirmation Date: Date Format: MM slash DD slash YYYY Special Needs (Medical, Learning, Disabilities, Physical Disabilities, etc):Do you have more children?YesNoSTUDENT #3 INFORMATIONChild Name:Grade:123456789101112Catholic?YesNoSarament Details Baptism: Eucharist: Reconciliation Prep: Confirmation: Baptism Date: Date Format: MM slash DD slash YYYY Eucharist Date: Date Format: MM slash DD slash YYYY Reconciliation Prep: Date Format: MM slash DD slash YYYY Confirmation Date: Date Format: MM slash DD slash YYYY Special Needs (Medical, Learning, Disabilities, Physical Disabilities, etc):Do you have more children?YesNoSTUDENT #4 INFORMATIONChild Name:Grade:123456789101112Catholic?YesNoSarament Details Baptism: Eucharist: Reconciliation Prep: Confirmation: Baptism Date: Date Format: MM slash DD slash YYYY Eucharist Date: Date Format: MM slash DD slash YYYY Reconciliation Prep: Date Format: MM slash DD slash YYYY Confirmation Date: Date Format: MM slash DD slash YYYY Special Needs (Medical, Learning, Disabilities, Physical Disabilities, etc):Do you have more children?YesNoSTUDENT #5 INFORMATIONChild Name:Grade:123456789101112Catholic?YesNoSarament Details Baptism: Eucharist: Reconciliation Prep: Confirmation: Baptism Date: Date Format: MM slash DD slash YYYY Eucharist Date: Date Format: MM slash DD slash YYYY Reconciliation Prep: Date Format: MM slash DD slash YYYY Confirmation Date: Date Format: MM slash DD slash YYYY Special Needs (Medical, Learning, Disabilities, Physical Disabilities, etc):
