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Religious Education Registration Form
St. Teresa of Calcutta Parish
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* Indicates required question
First Name
*
Your answer
Middle Name
Your answer
Last Name
*
Your answer
Grade Entering
*
Your answer
Age
*
Your answer
Mother First Name
Your answer
Mother Last Name
Your answer
Father First Name
Your answer
Father Last Name
Your answer
Address
*
Your answer
Email Address
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Place of Birth
Your answer
Date Of Birth
MM
/
DD
/
YYYY
Baptism Location
Your answer
Date of Baptism
MM
/
DD
/
YYYY
Godparents
Your answer
Student from other parish, Please provide your parish Name:
*
Your answer
Is student receiving confirmation?
Yes
No
Clear selection
Have you paid the Fee?
Yes
No
Clear selection
Fee Information:
Fee is $30 per child $80 per family if more than 3 children
_________________________________________________________
For online Payment click the following link:
https://stteresaofcalcuttaparish.weshareonline.org/StteresaofcalcuttaReligiousEducation
Please mail your checks to:
St. Teresa of Calcutta Parish
14 Prospect Street
Essex, CT 06426
Once you complete the payment, please submit the form to complete your registration.
Confirmation Page
Confirmation students please list your Saint’s name and your sponsor’s names . (sponsor’s can not be parents)
Name of Saint
Your answer
Sponsors
Your answer
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