K-8 RE Registration

Family Name REQUIRED Please fill out this field. Please enter valid data.

Primary Email REQUIRED Please fill out this field. Please enter an email address.

Primary Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Parishioner Status REQUIRED Please fill out this field.

Children Live With REQUIRED 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 Please enter valid data.
City Please enter valid data.

State

Zip Please enter a zip code.
Occupation Please enter valid data.
Religion Please enter valid data.

Mother'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
Mother's Address Please enter valid data.
City Please enter valid data.

State

Zip Please enter a zip code.
Occupation Please enter valid data.
Religion Please enter valid data.

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 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 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 Please fill out this field.
- Grade Completed in RE REQUIRED 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 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 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 Please fill out this field.
- Grade Completed in RE REQUIRED 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 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 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 Please fill out this field.
- Grade Completed in RE REQUIRED 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 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 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 Please fill out this field.
- Grade Completed in RE REQUIRED 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 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 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 Please fill out this field.
- Grade Completed in RE REQUIRED 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

K-8 RE Registration

documents

2020-2021 K-8 RE Registration