Corpus Christi Faith Formation     2021-2022
Welcome to Corpus Christi Church.  Use this form to register for our Religious Education Program Grades 1 to 8.   This is a FAMILY FORM    Please submit form by August 24,
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1st  Child name (first and last) *
1st Child Date of Birth *
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2nd Child's  Name (first and last) *
2nd Child Date of Birth *
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DD
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YYYY
Father's Name *
Father's Email
Mother's name + maiden *
Mother's Email
Which email address would you prefer as the primary *
Home Phone *
Cell Phone *
Alternate Cell Phone
Child lives with *
Primary Address , City and Zip Code *
Allergies (Explain and note if Epi-pen is used)
Special Learning needs or Medical needs?
Emergency Contact Name and Relationship ( must be other than Mom and Dad) *
Emergency Contact Phone Number *
Grade in September 2020 *
Is this a NEW Registration for Corpus Christi Rel.  Ed. *
Do you give permission for your child's name and image to be included in publicity releases about parish events in the bulletin, parish website, social media and local and diocesan newspaper *
Payment: 1 child - $150       2 or more children - $200.                                    
Please make check payable to Corpus Christi Church RE.   Mail to Corpus Christi Religious Education, 218 Washington Place, Hasbrouck Heights NJ  07604  or drop off at mail slot at Parish Center in an envelope marked with Child's name and CCD
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