Religious Education (K-6)

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.
Talents to Share 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.
Talents to Share 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 7/1/21 - 6/30/22
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.

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.

TUITION:
1 Student - $295
2 Students - $405
3+ Students - $470
FEES:
1st Communion - $60
Grade 6 Bible - $25

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

Religious Education (K-6)

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K-6 Religious Education

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Religious Education (K-6)

STAY CONNECTED

Religious Ed at St. Joseph's

UPDATE K-6 Religious Education

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K-6 Religious Education