Religious Education Registration Form

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Welcome to St. James Parish in Washington, Pennsylvania! Please fill out the entire form for each of your children to register them for our program.

Email *

If you have any questions contact the Religious Education Office at stjparishreligioused@gmail.com or (724) 225-1425 ext. 308. We are here to assist you!

Name of Child (Last, First, Middle) *

Father's name *

Mother's Name (including maiden) *

Date of Birth *

YYYY

City of Birth *

Age *

Gender *

Male

Female

What grade will your child be entering? *

Home Address (Address, City, State, Zip code) *

Preferred Phone (Home, Cell) (include name of phone holder) *

Email (one that is checked frequently for notices) (include name of email holder) *

Is your family registered at St. James Parish? (formerly Immaculate Conception Parish or St. Hilary Parish) *

Yes

Was your child previously registered in another religious education program? *

Yes

If yes, what is the name and location of the parish?

Baptism completed? (Date, Church, Address) *

*Please submit a copy of your child's baptismal certificate to our program, even if you are a member of the parish.*

A copy may be mailed to or dropped off at the parish rectory (119 W Chestnut St, Washington, PA 15301). A copy may also be emailed to the Religious Education program at: stjparishreligioused@gmail.com

First Reconciliation completed? (Date, Church, Address) *

First Communion completed? (Date, Church, Address) *

Emergency Contact #1 (Name, phone number) *

Emergency Contact #2 (Name, phone number) *

Does your child have access to the internet to use a digital catechesis program? *

Yes

Would you prefer that your child participate online instead of in-person? *

Yes

Do we have your permission to use your child's photo in the parish bulletin/website/Facebook? *

Yes

Does your child have any allergies, medical conditions, or cognitive challenges that we should be aware of? (all information will be kept confidential) *

Please list something that may be substituted if treats are given. *You may prefer to send something that can be kept in the classroom with his/her name on it. Be sure it is a non-perishable item.* *

Payment

$40 for one child, $60 for two, and $70 per family (3 or more) to cover the cost of textbooks and supplies. Due October 1. Send payment to religious education office at 119 W Chestnut St, Washington, PA 15301 or drop your payment in the
collection basket using a separate envelope. If you pay in cash, please include your name and
designate that it is for religious education fees, Your child may also bring the payment the first day of class.
Financial aid is available. Contact the Religious Education Office for assistance: stjparishreligioused@gmail.com or (724) 225-1425 ext. 308.

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