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- Faith Formation

Religious Education Registration 2022-2023
The maximum number of form submissions has been reached. This form is currently not available.
- Are you a member of our Parish and have been using weekly envelopes for at least six months? REQUIRED Yes No Please fill out this field.
- Envelope # Please enter valid data.
- Family Name REQUIRED Please fill out this field. Please enter valid data.
- 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.
- Primary Email REQUIRED Please fill out this field. Please enter valid data.
- Primary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Family Name if different from Child's Please enter valid data.
- Father's 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.
- Cell Number REQUIRED Please fill out this field. Please enter valid data.
- Religion REQUIRED Please fill out this field. Please enter valid data.
- Mother's 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.
- Maiden Name REQUIRED Please fill out this field. Please enter valid data.
- Cell Number REQUIRED Please fill out this field. Please enter valid data.
- Religion REQUIRED Please fill out this field. Please enter valid data.
- Parent Marital Status REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact Name, Relationship, and Phone Number REQUIRED Please fill out this field. Please enter valid data.
- # of Students being Registered REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Residence REQUIRED Please fill out this field.
  
  Name of Public School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  School Grade in September: REQUIRED Please fill out this field. Please enter valid data.
  
  Religion Grade in September REQUIRED Please fill out this field. Please enter valid data.
  
  **All new Registrants must provide a copy of Sacraments at time of registration.
  
  **It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.
  
  If your child is a new registrant, (except 1st Grade) indicate the name of the Religious Education program last attended... Please enter valid data.
  
  Medical/Special Needs Information
  
  Allergies Please enter valid data.
  
  Medicines Please enter valid data.
  
  Disabilities: (physical, learning, emotional) Please enter valid data.
  
  Sacramental Information
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  Baptism Date & Church Please enter valid data.
  
  Reconciliation REQUIRED Yes No Please fill out this field.
  
  Communion REQUIRED Yes No Please fill out this field.
  
  Communion Date & Church Please enter valid data.
  
  Class Schedules
  **ML1-students in grades 3-6 for First Holy Communion
  **ML2-students in grades 8-11 for First Holy Communion and/or Confirmation
  
  Class Choice REQUIRED Please fill out this field.
  
  **Attention Homeschoolers: I agree to weekly interactive lessons and reviews online with my child @ www.christourlife.com (reviews are submitted weekly to re@sjegoshen.org), to attend three meetings a year (both student and parent teacher) for book review and parent meeting, Stations of the Cross
  (at least once), Adoration (at least once), Family Catechesis (once a year), regular Confession, and weekly Mass every weekend and Holy Day of Obligation. Mass cards will be distributed and handed to Fr. George (or the celebrant if Fr. George is not there) outside Mass. You will be contacted via email with all the particulars. Failure to comply with all obligations may result in your child returning to the Religious Education Program or repeating the grade.
  
  I agree (Homeschoolers) I Agree
  
  Volunteers REQUIRED Please fill out this field.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Residence REQUIRED Please fill out this field.
  
  Name of Public School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  School Grade in September: REQUIRED Please fill out this field. Please enter valid data.
  
  Religion Grade in September REQUIRED Please fill out this field. Please enter valid data.
  
  **All new Registrants must provide a copy of Sacraments at time of registration.
  
  **It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.
  
  If your child is a new registrant, (except 1st Grade) indicate the name of the Religious Education program last attended... Please enter valid data.
  
  Medical/Special Needs Information
  
  Allergies Please enter valid data.
  
  Medicines Please enter valid data.
  
  Disabilities: (physical, learning, emotional) Please enter valid data.
  
  Sacramental Information
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  Baptism Date & Church Please enter valid data.
  
  Reconciliation REQUIRED Yes No Please fill out this field.
  
  Communion REQUIRED Yes No Please fill out this field.
  
  Communion Date & Church Please enter valid data.
  
  Class Schedules
  **ML1-students in grades 3-6 for First Holy Communion
  **ML2-students in grades 8-11 for First Holy Communion and/or Confirmation
  
  Class Choice REQUIRED Please fill out this field.
  
  **Attention Homeschoolers: I agree to weekly interactive lessons and reviews online with my child @ www.christourlife.com (reviews are submitted weekly to re@sjegoshen.org), to attend three meetings a year (both student and parent teacher) for book review and parent meeting, Stations of the Cross
  (at least once), Adoration (at least once), Family Catechesis (once a year), regular Confession, and weekly Mass every weekend and Holy Day of Obligation. Mass cards will be distributed and handed to Fr. George (or the celebrant if Fr. George is not there) outside Mass. You will be contacted via email with all the particulars. Failure to comply with all obligations may result in your child returning to the Religious Education Program or repeating the grade.
  
  I agree (Homeschoolers) I Agree
  
  Volunteers REQUIRED Please fill out this field.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Residence REQUIRED Please fill out this field.
  
  Name of Public School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  School Grade in September: REQUIRED Please fill out this field. Please enter valid data.
  
  Religion Grade in September REQUIRED Please fill out this field. Please enter valid data.
  
  **All new Registrants must provide a copy of Sacraments at time of registration.
  
  **It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.
  
  If your child is a new registrant, (except 1st Grade) indicate the name of the Religious Education program last attended... Please enter valid data.
  
  Medical/Special Needs Information
  
  Allergies Please enter valid data.
  
  Medicines Please enter valid data.
  
  Disabilities: (physical, learning, emotional) Please enter valid data.
  
  Sacramental Information
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  Baptism Date & Church Please enter valid data.
  
  Reconciliation REQUIRED Yes No Please fill out this field.
  
  Communion REQUIRED Yes No Please fill out this field.
  
  Communion Date & Church Please enter valid data.
  
  Class Schedules
  **ML1-students in grades 3-6 for First Holy Communion
  **ML2-students in grades 8-11 for First Holy Communion and/or Confirmation
  
  Class Choice REQUIRED Please fill out this field.
  
  **Attention Homeschoolers: I agree to weekly interactive lessons and reviews online with my child @ www.christourlife.com (reviews are submitted weekly to re@sjegoshen.org), to attend three meetings a year (both student and parent teacher) for book review and parent meeting, Stations of the Cross
  (at least once), Adoration (at least once), Family Catechesis (once a year), regular Confession, and weekly Mass every weekend and Holy Day of Obligation. Mass cards will be distributed and handed to Fr. George (or the celebrant if Fr. George is not there) outside Mass. You will be contacted via email with all the particulars. Failure to comply with all obligations may result in your child returning to the Religious Education Program or repeating the grade.
  
  I agree (Homeschoolers) I Agree
  
  Volunteers REQUIRED Please fill out this field.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Residence REQUIRED Please fill out this field.
  
  Name of Public School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  School Grade in September: REQUIRED Please fill out this field. Please enter valid data.
  
  Religion Grade in September REQUIRED Please fill out this field. Please enter valid data.
  
  **All new Registrants must provide a copy of Sacraments at time of registration.
  
  **It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.
  
  If your child is a new registrant, (except 1st Grade) indicate the name of the Religious Education program last attended... Please enter valid data.
  
  Medical/Special Needs Information
  
  Allergies Please enter valid data.
  
  Medicines Please enter valid data.
  
  Disabilities: (physical, learning, emotional) Please enter valid data.
  
  Sacramental Information
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  Baptism Date & Church Please enter valid data.
  
  Reconciliation REQUIRED Yes No Please fill out this field.
  
  Communion REQUIRED Yes No Please fill out this field.
  
  Communion Date & Church Please enter valid data.
  
  Class Schedules
  **ML1-students in grades 3-6 for First Holy Communion
  **ML2-students in grades 8-11 for First Holy Communion and/or Confirmation
  
  Class Choice REQUIRED Please fill out this field.
  
  **Attention Homeschoolers: I agree to weekly interactive lessons and reviews online with my child @ www.christourlife.com (reviews are submitted weekly to re@sjegoshen.org), to attend three meetings a year (both student and parent teacher) for book review and parent meeting, Stations of the Cross
  (at least once), Adoration (at least once), Family Catechesis (once a year), regular Confession, and weekly Mass every weekend and Holy Day of Obligation. Mass cards will be distributed and handed to Fr. George (or the celebrant if Fr. George is not there) outside Mass. You will be contacted via email with all the particulars. Failure to comply with all obligations may result in your child returning to the Religious Education Program or repeating the grade.
  
  I agree (Homeschoolers) I Agree
  
  Volunteers REQUIRED Please fill out this field.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Residence REQUIRED Please fill out this field.
  
  Name of Public School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  School Grade in September: REQUIRED Please fill out this field. Please enter valid data.
  
  Religion Grade in September REQUIRED Please fill out this field. Please enter valid data.
  
  **All new Registrants must provide a copy of Sacraments at time of registration.
  
  **It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.
  
  If your child is a new registrant, (except 1st Grade) indicate the name of the Religious Education program last attended... Please enter valid data.
  
  Medical/Special Needs Information
  
  Allergies Please enter valid data.
  
  Medicines Please enter valid data.
  
  Disabilities: (physical, learning, emotional) Please enter valid data.
  
  Sacramental Information
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  Baptism Date & Church Please enter valid data.
  
  Reconciliation REQUIRED Yes No Please fill out this field.
  
  Communion REQUIRED Yes No Please fill out this field.
  
  Communion Date & Church Please enter valid data.
  
  Class Schedules
  **ML1-students in grades 3-6 for First Holy Communion
  **ML2-students in grades 8-11 for First Holy Communion and/or Confirmation
  
  Class Choice REQUIRED Please fill out this field.
  
  **Attention Homeschoolers: I agree to weekly interactive lessons and reviews online with my child @ www.christourlife.com (reviews are submitted weekly to re@sjegoshen.org), to attend three meetings a year (both student and parent teacher) for book review and parent meeting, Stations of the Cross
  (at least once), Adoration (at least once), Family Catechesis (once a year), regular Confession, and weekly Mass every weekend and Holy Day of Obligation. Mass cards will be distributed and handed to Fr. George (or the celebrant if Fr. George is not there) outside Mass. You will be contacted via email with all the particulars. Failure to comply with all obligations may result in your child returning to the Religious Education Program or repeating the grade.
  
  I agree (Homeschoolers) I Agree
  
  Volunteers REQUIRED Please fill out this field.
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Residence REQUIRED Please fill out this field.
  
  Name of Public School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  School Grade in September: REQUIRED Please fill out this field. Please enter valid data.
  
  Religion Grade in September REQUIRED Please fill out this field. Please enter valid data.
  
  **All new Registrants must provide a copy of Sacraments at time of registration.
  
  **It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.
  
  If your child is a new registrant, (except 1st Grade) indicate the name of the Religious Education program last attended... Please enter valid data.
  
  Medical/Special Needs Information
  
  Allergies Please enter valid data.
  
  Medicines Please enter valid data.
  
  Disabilities: (physical, learning, emotional) Please enter valid data.
  
  Sacramental Information
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  Baptism Date & Church Please enter valid data.
  
  Reconciliation REQUIRED Yes No Please fill out this field.
  
  Communion REQUIRED Yes No Please fill out this field.
  
  Communion Date & Church Please enter valid data.
  
  Class Schedules
  **ML1-students in grades 3-6 for First Holy Communion
  **ML2-students in grades 8-11 for First Holy Communion and/or Confirmation
  
  Class Choice REQUIRED Please fill out this field.
  
  **Attention Homeschoolers: I agree to weekly interactive lessons and reviews online with my child @ www.christourlife.com (reviews are submitted weekly to re@sjegoshen.org), to attend three meetings a year (both student and parent teacher) for book review and parent meeting, Stations of the Cross
  (at least once), Adoration (at least once), Family Catechesis (once a year), regular Confession, and weekly Mass every weekend and Holy Day of Obligation. Mass cards will be distributed and handed to Fr. George (or the celebrant if Fr. George is not there) outside Mass. You will be contacted via email with all the particulars. Failure to comply with all obligations may result in your child returning to the Religious Education Program or repeating the grade.
  
  I agree (Homeschoolers) I Agree
  
  Volunteers REQUIRED Please fill out this field.
  
  Child 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Residence REQUIRED Please fill out this field.
  
  Name of Public School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  School Grade in September: REQUIRED Please fill out this field. Please enter valid data.
  
  Religion Grade in September REQUIRED Please fill out this field. Please enter valid data.
  
  **All new Registrants must provide a copy of Sacraments at time of registration.
  
  **It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.
  
  If your child is a new registrant, (except 1st Grade) indicate the name of the Religious Education program last attended... Please enter valid data.
  
  Medical/Special Needs Information
  
  Allergies Please enter valid data.
  
  Medicines Please enter valid data.
  
  Disabilities: (physical, learning, emotional) Please enter valid data.
  
  Sacramental Information
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  Baptism Date & Church Please enter valid data.
  
  Reconciliation REQUIRED Yes No Please fill out this field.
  
  Communion REQUIRED Yes No Please fill out this field.
  
  Communion Date & Church Please enter valid data.
  
  Class Schedules
  **ML1-students in grades 3-6 for First Holy Communion
  **ML2-students in grades 8-11 for First Holy Communion and/or Confirmation
  
  Class Choice REQUIRED Please fill out this field.
  
  **Attention Homeschoolers: I agree to weekly interactive lessons and reviews online with my child @ www.christourlife.com (reviews are submitted weekly to re@sjegoshen.org), to attend three meetings a year (both student and parent teacher) for book review and parent meeting, Stations of the Cross
  (at least once), Adoration (at least once), Family Catechesis (once a year), regular Confession, and weekly Mass every weekend and Holy Day of Obligation. Mass cards will be distributed and handed to Fr. George (or the celebrant if Fr. George is not there) outside Mass. You will be contacted via email with all the particulars. Failure to comply with all obligations may result in your child returning to the Religious Education Program or repeating the grade.
  
  I agree (Homeschoolers) I Agree
  
  Volunteers REQUIRED Please fill out this field.
  
  Child 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Birthdate REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Residence REQUIRED Please fill out this field.
  
  Name of Public School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  School Grade in September: REQUIRED Please fill out this field. Please enter valid data.
  
  Religion Grade in September REQUIRED Please fill out this field. Please enter valid data.
  
  **All new Registrants must provide a copy of Sacraments at time of registration.
  
  **It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.
  
  If your child is a new registrant, (except 1st Grade) indicate the name of the Religious Education program last attended... Please enter valid data.
  
  Medical/Special Needs Information
  
  Allergies Please enter valid data.
  
  Medicines Please enter valid data.
  
  Disabilities: (physical, learning, emotional) Please enter valid data.
  
  Sacramental Information
  
  Baptism REQUIRED Yes No Please fill out this field.
  
  Baptism Date & Church Please enter valid data.
  
  Reconciliation REQUIRED Yes No Please fill out this field.
  
  Communion REQUIRED Yes No Please fill out this field.
  
  Communion Date & Church Please enter valid data.
  
  Class Schedules
  **ML1-students in grades 3-6 for First Holy Communion
  **ML2-students in grades 8-11 for First Holy Communion and/or Confirmation
  
  Class Choice REQUIRED Please fill out this field.
  
  **Attention Homeschoolers: I agree to weekly interactive lessons and reviews online with my child @ www.christourlife.com (reviews are submitted weekly to re@sjegoshen.org), to attend three meetings a year (both student and parent teacher) for book review and parent meeting, Stations of the Cross
  (at least once), Adoration (at least once), Family Catechesis (once a year), regular Confession, and weekly Mass every weekend and Holy Day of Obligation. Mass cards will be distributed and handed to Fr. George (or the celebrant if Fr. George is not there) outside Mass. You will be contacted via email with all the particulars. Failure to comply with all obligations may result in your child returning to the Religious Education Program or repeating the grade.
  
  I agree (Homeschoolers) I Agree
  
  Volunteers REQUIRED Please fill out this field.
- Statement: I acknowledge receipt of:
  A. St. John’s Religious Education Program Handbook (available online; hard copies available) and I agree to comply with all policies.
  B. Informational material regarding our Safe Environment Program (available online; hard copies available ).
  C. I give my permission to have my child photographed during any church event.
- I Agree REQUIRED I Agree Please fill out this field.
- Registration Fees - Select all applicable fees ***There is one separate fee for Confirmation Student. Do not include them in Family Fee.
- Regular Registration Fee Added25.0
- Registration Fees REQUIRED
  0.0 – Catechist Discount
  135.0 – 1 Child (Using Envelopes)
  215.0 – 1 Child (Not Using Envelopes)
  215.0 – 2 or more Children (Using Envelopes)
  315.0 – 2 or more Children (Not using Envelopes)
  85.0 – Confirmation Fee w/ Used Robe
  170.0 – Confirmation Fee w/ Used Robe (2 students)
  100.0 – Confirmation Fee w/ Robe included
  200.0 – Confirmation Fee w/Robe Included (2 students)
  300.0 – Confirmation Fee w/ Robe Included (3 students) Please fill out this field.
Total:

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church of St. John the Evangelist

Goshen, New York

1

Religious Education Registration 2022-2023

**All new Registrants must provide a copy of Sacraments at time of registration.

**It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.

**All new Registrants must provide a copy of Sacraments at time of registration.

**It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.

**All new Registrants must provide a copy of Sacraments at time of registration.

**It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.

**All new Registrants must provide a copy of Sacraments at time of registration.

**It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.

**All new Registrants must provide a copy of Sacraments at time of registration.

**It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.

**All new Registrants must provide a copy of Sacraments at time of registration.

**It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.

**All new Registrants must provide a copy of Sacraments at time of registration.

**It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.

**All new Registrants must provide a copy of Sacraments at time of registration.

**It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.

Registration Fees - Select all applicable fees *There is one separate fee for Confirmation Student. Do not include them in Family Fee.**

1

**All new Registrants must provide a copy of Sacraments at time of registration.

**It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.

**All new Registrants must provide a copy of Sacraments at time of registration.

**It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.

**All new Registrants must provide a copy of Sacraments at time of registration.

**It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.

**All new Registrants must provide a copy of Sacraments at time of registration.

**It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.

**All new Registrants must provide a copy of Sacraments at time of registration.

**It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.

**All new Registrants must provide a copy of Sacraments at time of registration.

**It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.

**All new Registrants must provide a copy of Sacraments at time of registration.

**It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.

**All new Registrants must provide a copy of Sacraments at time of registration.

**It is in the best interest of the Religious Education Program not to accept requests for specific Catechists.

Registration Fees - Select all applicable fees ***There is one separate fee for Confirmation Student. Do not include them in Family Fee.

Registration Fees - Select all applicable fees *There is one separate fee for Confirmation Student. Do not include them in Family Fee.**