Registration

Child 1

Child's Name*

First Middle Last

Gender*

Male
Female

Birth Date*

Grade (Sept. 2021)*

School Name*

What religious education program are you registering the child for?*

Please select the day you prefer your child to attend class*

Select All
7:00pm - 8:30pm, Tuesday
7:00pm - 8:30pm, Thursday
10:00am - 11:45am, Saturday

Check atleast two available days

Please select the language you prefer your child to attend confirmation classes in*

English
Spanish

Has the child received the sacrament of Baptism?*

Yes
No

Name of the church and city were the child was Baptized?*

Eg: Our Lady of Loretto Church, Hempstead, NY

Has the child received the sacrament of First Holy Communion?*

Yes
No

Name of the church and city were the child received First Holy Communion?*

Eg: Our Lady of Loretto Church, Hempstead, NY

What are the sacraments needed?*

Select All
Baptism
First Holy Communion
Confirmation

Does the student have any health issues or disabilities?

Child 2

Child's Name*

First Middle Last

Gender*

Male
Female

Birth Date*

Grade (Sept. 2021)*

School Name*

What religious education program are you registering the child for?*

Please select the day you prefer your child to attend class*

Select All
7:00pm - 8:30pm, Tuesday
7:00pm - 8:30pm, Thursday
10:00am - 11:45am, Saturday

Check atleast two available days

Please select the language you prefer your child to attend confirmation classes in*

English
Spanish

Has the child received the sacrament of Baptism?*

Yes
No

Name of the church and city were the child was Baptized?*

Eg: Our Lady of Loretto Church, Hempstead, NY

Has the child received the sacrament of First Holy Communion?*

Yes
No

Name of the church and city were the child received First Holy Communion?*

Eg: Our Lady of Loretto Church, Hempstead, NY

What are the sacraments needed?*

Select All
Baptism
First Holy Communion
Confirmation

Does the child have any health issues or disabilities?

Child 3

Child's Name*

First Middle Last

Gender*

Male
Female

Birth Date*

Grade (Sept. 2021)*

School Name*

What religious education program are you registering the child for?*

Please select the day you prefer your child to attend class*

Select All
7:00pm - 8:30pm, Tuesday
7:00pm - 8:30pm, Thursday
10:00am - 11:45am, Saturday

Check atleast two available days

Please select the language you prefer your child to attend confirmation classes in*

English
Spanish

Has the child received the sacrament of Baptism?*

Yes
No

Name of the church and city were the child was Baptized?*

Eg: Our Lady of Loretto Church, Hempstead, NY

Has the child received the sacrament of First Holy Communion?*

Yes
No

Name of the church and city were the child received First Holy Communion?*

Eg: Our Lady of Loretto Church, Hempstead, NY

What are the sacraments needed?*

Select All
Baptism
First Holy Communion
Confirmation

Does the child have any health issues or disabilities?

Adult

Name*

First Middle Last

Gender*

Male
Female

Birth Date*

Cell Phone Number*

Email

Are you a student?*

Yes
No

School Name*

Please select the language you/he/she prefers to attend classes in*

English
Spanish

Have you/he/she received the sacrament of Baptism?*

Yes
No

Name of the church and city were you/he/she was Baptized?*

Eg: Our Lady of Loretto Church, Hempstead, NY

Have you/he/she received the sacrament of First Holy Communion?*

Yes
No

Name of the church and city were you/he/she received First Holy Communion?*

Eg: Our Lady of Loretto Church, Hempstead, NY

What are the sacraments needed?*

Select All
Baptism
First Holy Communion
Confirmation

Registration for Religious Education

Step 1 of 5

Family Info

Child 1

Child 2

Child 3

Adult

Documents

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