RE K-6 Registration

Proceed here ONLY if you are registering a K-6 grade student(s). If you have 7th and/or 8th grade student(s) click the link at the top of the page.

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.

Parishioner Status REQUIRED Please fill out this field.

Children Live With REQUIRED Please fill out this field.

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.

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 7/1/19 - 6/30/20
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.
- 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 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? Yes
- 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.
- 1ST 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.
- 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 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? Yes
- 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.
- 1ST 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.
- 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 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? Yes
- 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.
- 1ST 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.

CHECK or CREDIT CARD Payment Options

You may now pay by
Check or Credit Card (add'l CC fees apply).

Tuition & Fees "Pay Later" BY CHECK:
1 Student - $275
2 Students - $380
3+ Students - $440
1st Communion - $60
Grade 6 Bible - $25

Tuition & Fees "Pay Now" BY CREDIT CARD:
1 Student - $284
2 Students - $392
3+ Students - $454
1st Communion - $62
Grade 6 Bible - $26

- If you wish to pay by CHECK select from the "Pay later by Check" options and click "Pay Later" to complete your Registration. Submit your CHECK payable to "St. Joseph Religious Education" and send to 4824 Highland Ave., Downers Grove, IL 60515 Attn: Religious Ed

- If you wish to pay by CREDIT CARD select from the "Pay Now by Credit Card" options and click "Pay Now" to complete your Payment and Registration.

- If other payment arrangements are needed please contact Jacqueline Lackaff 630-964-0216 x1106

I wish to pay by... REQUIRED CHECK "Pay Later" CREDIT CARD "Pay Now" - add'l CC fees apply Please fill out this field.

Complete the fields under your chosen payment option

"Pay Later" by CHECK

Number of Students - "Pay Later" by Check $275 – "Pay Later" by Check - 1 Student $380 – "Pay Later" by Check - 2 Students $440 – "Pay Later" by Check - 3+ Students

Gr 2 1st Communion Fee - "Pay Later" by Check

Gr 6 Bible Fee - "Pay Later" by Check

"Pay Now" by CREDIT CARD

Number of Students - "Pay Now" by Credit Card $284 – "Pay Now" by Credit Card - 1 Students $392 – "Pay Now" by Credit Card - 2 Students $454 – "Pay Now" by Credit Card - 3+ Students

Gr 2 1st Communion Fee - "Pay Now" by Credit Card

Gr 6 Bible Fee - "Pay Now" by Credit Card

Paying by CHECK click "PAY LATER"
Paying by CREDIT CARD click "PAY NOW"

RE K-6 Registration

Need K-8 Registration instead?

If you have students in both our K-6 and Confirmation programs, Click Here to Register all your students at once!

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2019-2020 K-6 RE Registration