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Registration Letter 2020-2021
2020-2021 K-8 RE Registration
The maximum number of form submissions has been reached. This form is currently not available.
Family Name
REQUIRED
Please fill out this field.
Please enter valid data.
Primary Email
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Please enter an email address.
Primary Address
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City
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Zip
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Please enter a zip code.
Parishioner Status
REQUIRED
(Select One)
Registered Member of St. Joe's
New Member - Need to Register
Other
Please fill out this field.
Children Live With
REQUIRED
(Select One)
Both Parents
Mother Only
Father Only
Please fill out this field.
PARENT/GUARDIAN
Father's Contact Information
First Name
Please enter valid data.
Last Name
Please enter valid data.
Email
Please enter an email address.
Cell Phone
Used for limited contact by the director of RE and your child's teacher
Please enter a phone number.
Check if Address is the same as above
Same as above
Father's Address
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City
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State
None
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AL
AR
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CA
CO
CT
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DE
FL
GA
GU
HI
IA
ID
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KY
LA
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MD
ME
MH
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MN
MO
MS
MT
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ND
NE
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OR
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Zip
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Occupation
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Religion
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Mother's Contact Information
First Name
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Last Name
Please enter valid data.
Email
Please enter an email address.
Cell Phone
Used for limited contact by the director of RE and your child's teacher
Please enter a phone number.
Check if Address is the same as above
Same as above
Mother's Address
Please enter valid data.
City
Please enter valid data.
State
None
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Zip
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Occupation
Please enter valid data.
Religion
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EMERGENCY CONTACT INFORMATION
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Best Phone Number
REQUIRED
Please fill out this field.
Please enter a phone number.
Relationship to child(ren) or family
REQUIRED
Please fill out this field.
Please enter valid data.
MEDICAL RELEASE and EMERGENCY CONTACT
If parent cannot be reached 7/1/20 - 6/30/21
In the event that I, as the undersigned parent/guardian of this child/ren cannot be contacted, and in the judgement of the director of Religious Education, Pastor or teacher deems necessary for my child/ren to receive immediate medical intervention, I hereby request and authorize the supervising personnel to obtain services necessary to assist my child/ren. I agree to assume financial responsibility for any diagnosis/treatment and medication.
I Agree
Please select this field.
Number of Children Registering
REQUIRED
Please fill out this field.
Child 1
Class Preference
REQUIRED
(Select One)
SUNDAY (10-11am)
WED (4-5:15pm)
THU (4-5:15pm)
Confirmation (WED 6:30-8pm)
Please fill out this field.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Middle Name
Please enter valid data.
In Grades 7 & 8 we request email/phone for student reminders. All contact is transparent through Flocknote.
Email
Please enter an email address.
Cell Phone
Please enter a phone number.
Gender
REQUIRED
(Select One)
Female
Male
Please fill out this field.
Age
REQUIRED
Please fill out this field.
Please enter valid data.
Birth Date
REQUIRED
Please fill out this field.
Please enter a date.
School Name
REQUIRED
Please fill out this field.
Please enter valid data.
Grade in Fall
REQUIRED
(Select One)
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Please fill out this field.
Grade Completed in RE
REQUIRED
(Select One)
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Please fill out this field.
New Student?
REQUIRED
Yes
No
Please fill out this field.
If Yes, Parish where student previously attended
Please enter valid data.
Allergies, Special Needs or Requests
SACRAMENTS RECEIVED
BAPTISM Date
Please enter a date.
Parish Name
Please enter valid data.
City, State
Please enter valid data.
Please submit a copy of the baptismal certificate if your child did not receive the sacrament of Baptism or 1st Holy Communion at St. Joseph Chruch.
RECONCILIATION Date
Please enter a date.
Parish Name
Please enter valid data.
City, State
Please enter valid data.
1ST HOLY COMMUNION Date
Please enter a date.
Parish Name
Please enter valid data.
City, State
Please enter valid data.
Child 2
Class Preference
REQUIRED
(Select One)
SUNDAY (10-11am)
WED (4-5:15pm)
THU (4-5:15pm)
Confirmation (WED 6:30-8pm)
Please fill out this field.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Middle Name
Please enter valid data.
In Grades 7 & 8 we request email/phone for student reminders. All contact is transparent through Flocknote.
Email
Please enter an email address.
Cell Phone
Please enter a phone number.
Gender
REQUIRED
(Select One)
Female
Male
Please fill out this field.
Age
REQUIRED
Please fill out this field.
Please enter valid data.
Birth Date
REQUIRED
Please fill out this field.
Please enter a date.
School Name
REQUIRED
Please fill out this field.
Please enter valid data.
Grade in Fall
REQUIRED
(Select One)
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Please fill out this field.
Grade Completed in RE
REQUIRED
(Select One)
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Please fill out this field.
New Student?
REQUIRED
Yes
No
Please fill out this field.
If Yes, Parish where student previously attended
Please enter valid data.
Allergies, Special Needs or Requests
SACRAMENTS RECEIVED
BAPTISM Date
Please enter a date.
Parish Name
Please enter valid data.
City, State
Please enter valid data.
Please submit a copy of the baptismal certificate if your child did not receive the sacrament of Baptism or 1st Holy Communion at St. Joseph Chruch.
RECONCILIATION Date
Please enter a date.
Parish Name
Please enter valid data.
City, State
Please enter valid data.
1ST HOLY COMMUNION Date
Please enter a date.
Parish Name
Please enter valid data.
City, State
Please enter valid data.
Child 3
Class Preference
REQUIRED
(Select One)
SUNDAY (10-11am)
WED (4-5:15pm)
THU (4-5:15pm)
Confirmation (WED 6:30-8pm)
Please fill out this field.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Middle Name
Please enter valid data.
In Grades 7 & 8 we request email/phone for student reminders. All contact is transparent through Flocknote.
Email
Please enter an email address.
Cell Phone
Please enter a phone number.
Gender
REQUIRED
(Select One)
Female
Male
Please fill out this field.
Age
REQUIRED
Please fill out this field.
Please enter valid data.
Birth Date
REQUIRED
Please fill out this field.
Please enter a date.
School Name
REQUIRED
Please fill out this field.
Please enter valid data.
Grade in Fall
REQUIRED
(Select One)
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Please fill out this field.
Grade Completed in RE
REQUIRED
(Select One)
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Please fill out this field.
New Student?
REQUIRED
Yes
No
Please fill out this field.
If Yes, Parish where student previously attended
Please enter valid data.
Allergies, Special Needs or Requests
SACRAMENTS RECEIVED
BAPTISM Date
Please enter a date.
Parish Name
Please enter valid data.
City, State
Please enter valid data.
Please submit a copy of the baptismal certificate if your child did not receive the sacrament of Baptism or 1st Holy Communion at St. Joseph Chruch.
RECONCILIATION Date
Please enter a date.
Parish Name
Please enter valid data.
City, State
Please enter valid data.
1ST HOLY COMMUNION Date
Please enter a date.
Parish Name
Please enter valid data.
City, State
Please enter valid data.
Child 4
Class Preference
REQUIRED
(Select One)
SUNDAY (10-11am)
WED (4-5:15pm)
THU (4-5:15pm)
Confirmation (WED 6:30-8pm)
Please fill out this field.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Middle Name
Please enter valid data.
In Grades 7 & 8 we request email/phone for student reminders. All contact is transparent through Flocknote.
Email
Please enter an email address.
Cell Phone
Please enter a phone number.
Gender
REQUIRED
(Select One)
Female
Male
Please fill out this field.
Age
REQUIRED
Please fill out this field.
Please enter valid data.
Birth Date
REQUIRED
Please fill out this field.
Please enter a date.
School Name
REQUIRED
Please fill out this field.
Please enter valid data.
Grade in Fall
REQUIRED
(Select One)
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Please fill out this field.
Grade Completed in RE
REQUIRED
(Select One)
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Please fill out this field.
New Student?
REQUIRED
Yes
No
Please fill out this field.
If Yes, Parish where student previously attended
Please enter valid data.
Allergies, Special Needs or Requests
SACRAMENTS RECEIVED
BAPTISM Date
Please enter a date.
Parish Name
Please enter valid data.
City, State
Please enter valid data.
Please submit a copy of the baptismal certificate if your child did not receive the sacrament of Baptism or 1st Holy Communion at St. Joseph Chruch.
RECONCILIATION Date
Please enter a date.
Parish Name
Please enter valid data.
City, State
Please enter valid data.
1ST HOLY COMMUNION Date
Please enter a date.
Parish Name
Please enter valid data.
City, State
Please enter valid data.
Child 5
Class Preference
REQUIRED
(Select One)
SUNDAY (10-11am)
WED (4-5:15pm)
THU (4-5:15pm)
Confirmation (WED 6:30-8pm)
Please fill out this field.
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Middle Name
Please enter valid data.
In Grades 7 & 8 we request email/phone for student reminders. All contact is transparent through Flocknote.
Email
Please enter an email address.
Cell Phone
Please enter a phone number.
Gender
REQUIRED
(Select One)
Female
Male
Please fill out this field.
Age
REQUIRED
Please fill out this field.
Please enter valid data.
Birth Date
REQUIRED
Please fill out this field.
Please enter a date.
School Name
REQUIRED
Please fill out this field.
Please enter valid data.
Grade in Fall
REQUIRED
(Select One)
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Please fill out this field.
Grade Completed in RE
REQUIRED
(Select One)
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Please fill out this field.
New Student?
REQUIRED
Yes
No
Please fill out this field.
If Yes, Parish where student previously attended
Please enter valid data.
Allergies, Special Needs or Requests
SACRAMENTS RECEIVED
BAPTISM Date
Please enter a date.
Parish Name
Please enter valid data.
City, State
Please enter valid data.
Please submit a copy of the baptismal certificate if your child did not receive the sacrament of Baptism or 1st Holy Communion at St. Joseph Chruch.
RECONCILIATION Date
Please enter a date.
Parish Name
Please enter valid data.
City, State
Please enter valid data.
1ST HOLY COMMUNION Date
Please enter a date.
Parish Name
Please enter valid data.
City, State
Please enter valid data.
Photo/Video/Classroom Work Permission: Name of students will not be released
REQUIRED
YES, my child/ren's photos, video,and classroom work MAY be displayed in any format - website, parish bulletins, newsletters, posters, etc.
NO, my child/ren's photos, video and classroom work MAY NOT be displayed in any format - website, parish bulletin, newsletters, posters, etc.
Please fill out this field.
As the parent/legal guardian of the child(ren) named above I agree to the Photo/Video/Classroom Work Permission response chosen.
I Agree
Please select this field.
Permission form below is for your 7th/8th grade student(s) only
I request that my child(ren)
REQUIRED
Please fill out this field.
Please enter valid data.
be allowed to participate in St. Joseph Confirmation events, including but not limited to, service projects, retreats, Rosary, social events and conferences, from June 2019 to May 2020.
Click Here
to read the specifications of the Diocese of Joliet and St. Joseph Parish Permission Form before Agreeing below.
I hereby release and indemnify St. Joseph Parish, its staff, volunteeers, and the Diocese of Joliet from any and all liability arising from claims of any kind or nature whatsoever from my child's participation in this event.
I Agree
Please select this field.
be allowed to participate in St. Joseph Confirmation events, including but not limited to, service projects, retreats, Rosary, social events and conferences, from June 2019 to May 2020.
Click Here
to read the specifications of the Diocese of Joliet and St. Joseph Parish Permission Form before Agreeing below.
I hereby release and indemnify St. Joseph Parish, its staff, volunteeers, and the Diocese of Joliet from any and all liability arising from claims of any kind or nature whatsoever from my child's participation in this event.
I Agree
Please select this field.
TUITION:
1 Student - $285
2 Students - $395
3+ Students - $455
FEES:
1st Communion - $60
Grade 6 Bible - $25
Grade 7 Book - $20
Grade 8 Confirmation - $60
To complete your payment, submit your CHECK payable to:
"St. Joseph Religious Education"
Send or bring to:
St. Joseph Parish Center
4824 Highland Ave.
Downers Grove, IL 60515
Attn: Toni Rapach RE K-8
If other payment arrangements are needed please contact Jacqueline Lackaff (K-6) 630-964-0216 x1106 or Marta Spiezio (7-8)
630-964-0216
x1210
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