2021- 2022 Religious Education Program Registration
Grades Tk-7th grade
* this is not for a child in sacrament prep year (2nd grade and up needing 1st Communion) or confirmation prep. year (8th grade and up needing confirmation).

Tuition Information:
One Child- $175
Two or More Children- $250

*Need Financial assistance, please contact our DRE at Dre@saintanselm.org 

Sign in to Google to save your progress. Learn more
Are you a registered parishioner? (If not, please do so. link is on our parish homepage) *
Do you have any children or teen that needs to be baptized? If so, please reach out to DRE@saintanselm.org. *
Do you need any of the following sacraments (baptism, first communion, or confirmation). If so, please reach out to DRE@saintanselm.org for information about RCIA " Rite of Christian Initiation for Adults." *
Family Name *
Mailing Address (include zipcode) *
Parent/Guardian #1:  Name, Email, and cell number   *
Parent/Guardian #2:  Name, Email, and cell number  
Student #1: Name (first and lastname) *
Student #1: Grade Level *
Student #1: School name   *
Student #1: Birthday *
MM
/
DD
/
YYYY
Student #2: Name (first and lastname)
Student #2: Grade Level
Clear selection
Student #2: School name  
Student #2: Birthday
MM
/
DD
/
YYYY
Student #3: Name (first and lastname)
Student #3: Grade Level
Clear selection
Student #3: School name  
Student #3: Birthday
MM
/
DD
/
YYYY
Emergency Contact: Name & Phone Number *
Are you interested in helping us teach or be a teacher's aid *
If interested in helping in a classroom, which grades?
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of St. Anselm Church. Report Abuse
Google Forms