Corpus Christi Parish
RELIGIOUS EDUCATION REGISTRATION - GRADES 1-8
CLASSES MEET AT SCHOOL ON MONDAYS (SEPTEMBER 17, 2018 - MAY 20, 2019 ) FROM 3:45-5:00 P.M.
#1 CHILD'S NAME
Last Name:
First Name:
Middle Name:
Check one:
New Student
Returning Student
Gender:
Male
Female
Grade(in 2018-19):
1st
2nd
3rd
4th
5th
6th
7th
8th
Present School Attending:
Date of Birth:
Sacrament & Religious Education Information (Attach copy of Baptismal Certificate - new students only.)
Date of Baptism:
Church of Baptism:
City/ State:
Roman Catholic?
Yes
No
Received Sacrament of Reconciliation?
Yes
No
Received First Holy Communion?
Yes
No
Date of First Holy Communion:
Church of First Holy Communion:
City/ State:
#2 CHILD'S NAME
Last Name:
First Name:
Middle Name:
Check one:
New Student
Returning Student
Gender:
Male
Female
Grade(in 2018-19):
1st
2nd
3rd
4th
5th
6th
7th
8th
Present School Attending:
Date of Birth:
Sacrament & Religious Education Information (Attach copy of Baptismal Certificate - new students only.)
Date of Baptism:
Church of Baptism:
City/ State:
Roman Catholic?
Yes
No
Received Sacrament of Reconciliation?
Yes
No
Received First Holy Communion?
Yes
No
Date of First Holy Communion:
Church of First Holy Communion:
City/ State:
Mother
First Name(s):
Last Name:
Religion:
Street Address:
City:
State:
Zip:
-
Cell Phone:
Work Phone:
Email Address:
Registered at Corpus Christi Parish?
Yes
No
If other parish, name of home parish:
Father
First Name(s):
Last Name:
Religion:
Street Address:
City:
State:
Zip:
-
Cell Phone:
Work Phone:
Email Address:
Registered at Corpus Christi Parish?
Yes
No
If other parish, name of home parish:
Emergency Information
Emergency Contact Name:
Relationship:
Cell Phone:
Work Phone:
Fee (Make checks payable to: Corpus Christi Parish.):
One child $150
Two children $220
*First Communion Fee $55 per child - if receiving sacrament this year.
Parent/Guardian Signature
Parent’s Signature:
By typing your name in the signature box you agree that your name in the box serves as your signature.
Date:
Return Registration Form, Check & Copy of Baptismal Certificate to:
Phone: (310) 454-1328 ext. 226
Email: janey@corpuschristichurch.com
Jane Young, Director of Religious Education
Corpus Christi Parish
880 Toyopa Drive
Pacific Palisades, CA 90272
Submit
Please fill in all blank boxes and provide changes where necessary. If need to add additional members please use a second form.