Religious Education Registration Form 2023-2024

Welcome to Our Lady of Czestochowa Parish Religious Education Program!
Classes for grades Pre-K - 5th meet on Sundays at 10:20 - 11:20 am and begin October 15.
Classes for grades 6th - 11th meet on Mondays  at 5:00 PM till 6:30 PM and begin October 16. 
The fee is unchanged from last year - $45/student with a maximum of $80 for more than two from the same family. 
Please use this form to register your child/children.

Sign in to Google to save your progress. Learn more
Email *
Untitled Title
Contact us
If you have questions or if you prefer to register in person, please contact Agata Hannoush, Administrator of Religious Education at (508) 615-2639 or email agata@olcworcester.com
Family name *
Primary address *
Father's name *
Father's phone number *
Father's email *
Mother's first and maiden name *
Mother's phone number *
Mother's email *
Adult volunteer opportunities. Adult presence is especially important to our program. Can you help?
Clear selection
Student #1 first and last name *
Student #1 Date of Birth *
MM
/
DD
/
YYYY
Student #1 grade in school 2022-23 *
Baptized? *
Required
If YES, please provide the name of the church, if NO mark as N/A *
Is Student #1 preparing to receive a sacrament this year? *

Student #1 mobile phone (Gr 7-11 only)
Student #1 email address (Gr 7-11 only)
Student #1 special needs or allergies? *
Student #2 first and last name
Student #2 Date of Birth
MM
/
DD
/
YYYY
Student #2 grade in school 2022-23
Baptized
Clear selection
If YES, please provide the name of the church, if NO mark as N/A
Is Student #2 preparing to receive a sacrament this year?
Clear selection

Student #2 mobile phone (Gr 7-11 only)
Student #2 email address (Gr 7-11 only)
Student #2 special needs or allergies?
Student #3 first and last name
Student #3 Date of Birth 
MM
/
DD
/
YYYY
Student #3 grade in school 2022-23
Baptized
Clear selection
If YES, please provide the name of the church, if NO mark as N/A
Is Student #3 preparing to receive a sacrament this year?
Clear selection

Student #3 mobile phone (Gr 7-11 only)
Student #3 email address (Gr 7-11 only)
Student #3 special needs or allergies?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Our Lady of Czestochowa. Report Abuse
Google Forms