JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
St. Kateri Religious Education 2022-2023
PLEASE RETURN TO THE RELIGIOUS EDUCATION OFFICE. IF YOU HAVE QUESTIONS PLEASE CONTACT DEBBIE GAUSMANN (PK4 THRU 5TH GRADE) OR GIGI NIEMANN FOR 6TH-12TH GRADE)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Child Last Name
*
Your answer
Child First Name
*
Your answer
Child Middle Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Grade (School Year 2022-2023)
*
Your answer
School Attending (School Year 2022-2023)
*
Your answer
Baptism
*
My child was baptized at St. Kateri Tekakwitha
My child was baptized at another Catholic Parish
My child was baptized in another Christian denomination
Not Baptized
Sacramental Details
Received Reconciliation Prep
Received First Eucharist
Received Confirmation
Have not yet received
Address
*
Your answer
Mother Last Name
*
Your answer
Mother First Name
*
Your answer
Mother Email
*
Your answer
Mother Cell Phone Number
*
Your answer
Is Mother Catholic
*
Yes
No
Father Last Name
*
Your answer
Father First Name
*
Your answer
Father Email
*
Your answer
Father Cell Phone Number
*
Your answer
Is Father Catholic?
*
Yes
No
In case parent cannot be reached in an emergency, please notify
*
Your answer
Emergency Contact phone number
*
Your answer
Dietary Restrictions
*
Your answer
Permission/Release *Please print the Release form from the link on our website and return to the RE Office.*
*
I understand my registration is not complete until the Permission/Release Form is completed and returned to the RE Office
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of ST KATERI TEKAKWITHA.
Report Abuse
Forms
