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St. Stanislaus Religious Education Enrollment 2021-2022
**Please complete a separate form for each child**
Classes available for children age 3 - grade 12.
Enrollment Fee: $10 per student
Please bring payment the first Sunday of PSR, September 12th.
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Student Last Name
*
Your answer
Student First Name
*
Your answer
Date of Birth (dd/mm/yyyy)
*
Your answer
Grade in School (2021-2022 school year)
*
Choose
PreK
KDG
1
2
3
4
5
6
7
8
9
10
11
12
Has your child received the Sacrament of Baptism?
*
yes
no
Parish of Baptism (Parish Name, City, State)
*
Your answer
Has your child received the Sacrament of First Reconciliation?
*
yes
no
Has your child received the Sacrament of First Holy Communion?
*
yes
no
Has your child received the Sacrament of Confirmation?
*
yes
no
Mother's Name
Your answer
Mother's Phone Number
Your answer
Father's Name
Your answer
Father's Phone Number
Your answer
Email
Your answer
Mailing Address (Address, City, State, Zip)
*
Your answer
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