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Saint Catherine of Siena Catholic Church Religious Education Registration Form School Year: 2020-2021
Office of Religious Education
1020 Springvale Road
Great Falls, Virginia 22066
(703) 759-3530
Email:
stcatherinesreoffice@gmail.com
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Email
*
Your email
CCD Program Options
*
Traditional CCD classroom sessions (in person)
Internet-based homeschool (monitored by our catechists)
Traditional homeschool (for those in an overall homeschool educational program).
Child Full Name (Last name first)
*
Your answer
Gender
*
Male
Female
Sacraments received
*
Baptism
First Penance
First Holy Communion
Confirmation
Required
Date Registered
*
MM
/
DD
/
YYYY
Class Time Preference
Mondays, 5:00-6:15 p.m.
Mondays, 6:30-7:45 p.m.
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Student School Grade
*
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1st
3rd
4th
5th
6th
7th Confirmation I - Preparation for Sacrament of Confirmation
9th - 12th High School Apologetic Class
9th -12th High School Theology of the Body
9th -12th High School Scripture Class
Date of Birth
*
Your answer
Allergies (yes or No). If yes, please explain
*
Your answer
Family Registered Parishioner
*
Yes
No
Family Parish ID#
Your answer
Name of the parish? (if not a parishioner at St. Catherine of Siena)
*
Your answer
Mailing Address (City, State and Zip)
*
Your answer
Primary phone to contact
*
Your answer
Father's last and first name
*
Your answer
Father's email address
*
Your answer
Father's phone
*
Your answer
Father's religion
*
Your answer
Mother's last name and first name
*
Your answer
Mother's email address
*
Your answer
Mother's phone
*
Your answer
Mother's religion
*
Your answer
Emergency Contact Information (If parents cannot be contacted) 1. First and Last Name 2. Phone (Home/ work/cell) 3. Relationship to child
*
Your answer
Siblings in Religious Formation: List Full Name / Grade / Gender / Date of Birth / Alergies (Y/N).
*
Your answer
Parent's signature and date (Note: Tuition payment either by mail or drop off the RE Office. Please make checks payable to: St. Catherine of Siena Catholic Church).
*
Your answer
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