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CCD Registration Form 2020-2021
St. Helen Catholic Church/ St. Vincent de Paul Mission
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Email
*
Your email
Rio Hondo-Lozano, Texas
Child's Last Name
*
Your answer
Child's First Name
*
Your answer
Registered Parishioners?
*
Yes
No
Phone #
*
Your answer
Mailing Address
*
Your answer
City
*
Your answer
State
*
Your answer
Father's Name
Your answer
Father's Phone #
Your answer
Father's Cell #
Your answer
Mother's Name
Your answer
Mother's Phone #
Your answer
Mother's Cell #
Your answer
Child lives with:
*
Your answer
1st Emergency Contact Name:
*
Your answer
1st Emergency Contact Relationship:
*
Your answer
1st Emergency Contact Phone #
*
Your answer
2nd Emergency Contact Name:
*
Your answer
2nd Emergency Contact Relationship:
*
Your answer
2nd Emergency Phone #
*
Your answer
Brothers or Sisters attending CCD Classes this year
Your answer
Child's Full Name (as on birth/baptismal certificate)
Your answer
Child's sex
*
Male
Female
Date of Birth
*
MM
/
DD
/
YYYY
Birthplace
Your answer
Language
*
English
Spanish
Attended here before:
Yes
No
Clear selection
School attending
*
Your answer
Grade Fall 2020
*
Your answer
Previous Religious Education was at
Your answer
Health Issues or Needs
Your answer
Which Sacraments has child received
*
Baptism
1st Penance
1st Communion
Communion
Other:
Required
Baptism Parish
Your answer
1st Penance Parish
Your answer
1st Communion Parish
Your answer
Confirmation Parish
Option 1
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Guardian who is registering/submitting registration
Your answer
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