From the Rector, Twenty-Third Sunday in Ordinary Time, 9/6/2020

GALLUP RELIGIOUS EDUCATION REGISTRATION

                                                                                               Any changes to this form?          Yes/No      Year        

                                                                                                                                                                                _____    _____

                                                                                                                                                                                _____   _____

                                                                                                                                                                                _____   _____ 

Students’ Name: ______________________________   Phone ____________

Address:____________________________________________________________________________

Birth Date: _________________

Work/Cell Phone:  Mother:_______________________________  Father:__________________________________

Email: Mother:___________________________________________ Father:________________________________

Emergency Contact Person __________________________________  Phone:  __________

Father: __________________________________ Religion____________________________

Baptized? Yes / No Church:______________________________ City/State ________________________

First Communion?  Yes / No                                                                                                                                                                      Confirmation? Yes / No

Mother: ________________________________ Religion____________

Baptized?                          Yes / No

Church: _____________________________ City/State __________________________

First Communion         Yes / No                                                                                                                                                                      Confirmation               Yes / No

Are father & mother married in the Roman Catholic Church?                           Yes / No

If not, may we help you receive the Sacrament of Matrimony?                        Yes / No

If divorced, separated or annulled, who has custody of the children?_____________________________________________

Who is allowed to pick up your child _______________________________________________________

Child’s Grade in school year:    2020–2021___ 2021-2022____ 

                                                           2022–2023___ 2023-2024___

                                DATE                     CHURCH                               CITY & STATE                           COPY PROVIDED       

Baptism                _________        _________________   _______________________   _____

1st Penance       _________        _________________   _______________________   _____

1st Eucharist       _________        _________________   _______________________   _____

Confirmation     _________        _________________   _______________________   _____

*Any allergies or special classroom needs? ___________________________________________________________________

**FOR NEW STUDENTS. PLEASE PROVIDE A COPY OF YOUR BAPTISMAL CERTIFICATE WHEN REGISTERING.**Please return this form to the parish office, please call if you have any questions (505)722-6644   

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