Religious Education Registration 2020-2021

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.

Street 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.

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

Primary Telephone Number REQUIRED Please fill out this field. Please enter valid data.

Father Name and Religion (first and last, religion) REQUIRED Please fill out this field. Please enter valid data.

Father Email REQUIRED Please fill out this field. Please enter valid data.

Father's Cell REQUIRED Please fill out this field. Please enter valid data.

Mothers First and Last Name, Maiden Name, and Religion REQUIRED Please fill out this field. Please enter valid data.

Mother's Cell REQUIRED Please fill out this field. Please enter valid data.

Mother's Email REQUIRED Please fill out this field. Please enter valid data.

Parent Marital Status: REQUIRED Please fill out this field. Please enter valid data.

Family name if different from child: Please enter valid data.

Number of Children Enrolling in the 2020-2021 Religious Education Program REQUIRED Please fill out this field.
Student Name 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Please Check One REQUIRED Male Female Please fill out this field.
- Does child lives with both parents? Other? REQUIRED Please fill out this field. Please enter valid data.
- Email Student will be using for Virtual Classroom REQUIRED Please fill out this field. Please enter an email address.
- Sacraments Recieved (if new to this program, a copy of the certificate is required ) REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
- Name and Address of Church, Date of Sacrament (s) Please enter valid data.
- Any Allergies, IEP, Disabilities (physical, learning, emotional) REQUIRED Please fill out this field. Please enter valid data.
- Name of Public School Attending REQUIRED Please fill out this field. Please enter valid data.
- Student Grade in September REQUIRED Please fill out this field. Please enter valid data.
- Student Religion Grade In September REQUIRED Please fill out this field. Please enter valid data.
- Please Select One Choice REQUIRED Virtual Online Classroom (students will meet online with a Catechist along with other students once a week during the session you choose). More info to follow. At Home Program for grades 3-7 only. ( parent and student work together to complete weekly online lessons). More info to follow. Please fill out this field.
- Please choose one from the following Virtual Classroom options: Grade 1 Sunday 9:00-10:00 am Grade 2 Sunday 9:00-10:00 am Grade ML1 Sunday 9:00-10:00 am (for students in grades 3-6 that have not received First Holy Communion) Grades 3, 4, 7 Monday 4:30-5:30 pm ( 5 and 6 are full) Grades 3-7 Monday 6:30-7:30 pm Grade ML2 Monday 6:30-7:30 pm (students in grades 8-11 that need the Sacraments of First Holy Communion and/or Confirmation) Grades 3, 4, 7 Tuesday 4:30-5:30 pm ( 5 and 6 are full ) Grades 8 and ML3 (Confirmation Classes) Tuesday 6:30 pm - 7:30 pm Grade K Tuesday 4:30-5:00
- Confirmation fee (CONFIRMATION STUDENT ONLY)
Student Name 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Please Check One REQUIRED Male Female Please fill out this field.
- Does child lives with both parents? Other? REQUIRED Please fill out this field. Please enter valid data.
- Email Student will be using for Virtual Classroom REQUIRED Please fill out this field. Please enter an email address.
- Sacraments Recieved (if new to this program, a copy of the certificate is required ) REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
- Name and Address of Church, Date of Sacrament (s) Please enter valid data.
- Any Allergies, IEP, Disabilities (physical, learning, emotional) REQUIRED Please fill out this field. Please enter valid data.
- Name of Public School Attending REQUIRED Please fill out this field. Please enter valid data.
- Student Grade in September REQUIRED Please fill out this field. Please enter valid data.
- Student Religion Grade In September REQUIRED Please fill out this field. Please enter valid data.
- Please Select One Choice REQUIRED Virtual Online Classroom (students will meet online with a Catechist along with other students once a week during the session you choose). More info to follow. At Home Program for grades 3-7 only. ( parent and student work together to complete weekly online lessons). More info to follow. Please fill out this field.
- Please choose one from the following Virtual Classroom options: Grade 1 Sunday 9:00-10:00 am Grade 2 Sunday 9:00-10:00 am Grade ML1 Sunday 9:00-10:00 am (for students in grades 3-6 that have not received First Holy Communion) Grades 3, 4, 7 Monday 4:30-5:30 pm ( 5 and 6 are full) Grades 3-7 Monday 6:30-7:30 pm Grade ML2 Monday 6:30-7:30 pm (students in grades 8-11 that need the Sacraments of First Holy Communion and/or Confirmation) Grades 3, 4, 7 Tuesday 4:30-5:30 pm ( 5 and 6 are full ) Grades 8 and ML3 (Confirmation Classes) Tuesday 6:30 pm - 7:30 pm Grade K Tuesday 4:30-5:00
- Confirmation fee (CONFIRMATION STUDENT ONLY)
Student Name 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Please Check One REQUIRED Male Female Please fill out this field.
- Does child lives with both parents? Other? REQUIRED Please fill out this field. Please enter valid data.
- Email Student will be using for Virtual Classroom REQUIRED Please fill out this field. Please enter an email address.
- Sacraments Recieved (if new to this program, a copy of the certificate is required ) REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
- Name and Address of Church, Date of Sacrament (s) Please enter valid data.
- Any Allergies, IEP, Disabilities (physical, learning, emotional) REQUIRED Please fill out this field. Please enter valid data.
- Name of Public School Attending REQUIRED Please fill out this field. Please enter valid data.
- Student Grade in September REQUIRED Please fill out this field. Please enter valid data.
- Student Religion Grade In September REQUIRED Please fill out this field. Please enter valid data.
- Please Select One Choice REQUIRED Virtual Online Classroom (students will meet online with a Catechist along with other students once a week during the session you choose). More info to follow. At Home Program for grades 3-7 only. ( parent and student work together to complete weekly online lessons). More info to follow. Please fill out this field.
- Please choose one from the following Virtual Classroom options: Grade 1 Sunday 9:00-10:00 am Grade 2 Sunday 9:00-10:00 am Grade ML1 Sunday 9:00-10:00 am (for students in grades 3-6 that have not received First Holy Communion) Grades 3, 4, 7 Monday 4:30-5:30 pm ( 5 and 6 are full) Grades 3-7 Monday 6:30-7:30 pm Grade ML2 Monday 6:30-7:30 pm (students in grades 8-11 that need the Sacraments of First Holy Communion and/or Confirmation) Grades 3, 4, 7 Tuesday 4:30-5:30 pm ( 5 and 6 are full ) Grades 8 and ML3 (Confirmation Classes) Tuesday 6:30 pm - 7:30 pm Grade K Tuesday 4:30-5:00
- Confirmation fee (CONFIRMATION STUDENT ONLY)
Student Name 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Please Check One REQUIRED Male Female Please fill out this field.
- Does child lives with both parents? Other? REQUIRED Please fill out this field. Please enter valid data.
- Email Student will be using for Virtual Classroom REQUIRED Please fill out this field. Please enter an email address.
- Sacraments Recieved (if new to this program, a copy of the certificate is required ) REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
- Name and Address of Church, Date of Sacrament (s) Please enter valid data.
- Any Allergies, IEP, Disabilities (physical, learning, emotional) REQUIRED Please fill out this field. Please enter valid data.
- Name of Public School Attending REQUIRED Please fill out this field. Please enter valid data.
- Student Grade in September REQUIRED Please fill out this field. Please enter valid data.
- Student Religion Grade In September REQUIRED Please fill out this field. Please enter valid data.
- Please Select One Choice REQUIRED Virtual Online Classroom (students will meet online with a Catechist along with other students once a week during the session you choose). More info to follow. At Home Program for grades 3-7 only. ( parent and student work together to complete weekly online lessons). More info to follow. Please fill out this field.
- Please choose one from the following Virtual Classroom options: Grade 1 Sunday 9:00-10:00 am Grade 2 Sunday 9:00-10:00 am Grade ML1 Sunday 9:00-10:00 am (for students in grades 3-6 that have not received First Holy Communion) Grades 3, 4, 7 Monday 4:30-5:30 pm ( 5 and 6 are full) Grades 3-7 Monday 6:30-7:30 pm Grade ML2 Monday 6:30-7:30 pm (students in grades 8-11 that need the Sacraments of First Holy Communion and/or Confirmation) Grades 3, 4, 7 Tuesday 4:30-5:30 pm ( 5 and 6 are full ) Grades 8 and ML3 (Confirmation Classes) Tuesday 6:30 pm - 7:30 pm Grade K Tuesday 4:30-5:00
- Confirmation fee (CONFIRMATION STUDENT ONLY)
Student Name 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Please Check One REQUIRED Male Female Please fill out this field.
- Does child lives with both parents? Other? REQUIRED Please fill out this field. Please enter valid data.
- Email Student will be using for Virtual Classroom REQUIRED Please fill out this field. Please enter an email address.
- Sacraments Recieved (if new to this program, a copy of the certificate is required ) REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
- Name and Address of Church, Date of Sacrament (s) Please enter valid data.
- Any Allergies, IEP, Disabilities (physical, learning, emotional) REQUIRED Please fill out this field. Please enter valid data.
- Name of Public School Attending REQUIRED Please fill out this field. Please enter valid data.
- Student Grade in September REQUIRED Please fill out this field. Please enter valid data.
- Student Religion Grade In September REQUIRED Please fill out this field. Please enter valid data.
- Please Select One Choice REQUIRED Virtual Online Classroom (students will meet online with a Catechist along with other students once a week during the session you choose). More info to follow. At Home Program for grades 3-7 only. ( parent and student work together to complete weekly online lessons). More info to follow. Please fill out this field.
- Please choose one from the following Virtual Classroom options: Grade 1 Sunday 9:00-10:00 am Grade 2 Sunday 9:00-10:00 am Grade ML1 Sunday 9:00-10:00 am (for students in grades 3-6 that have not received First Holy Communion) Grades 3, 4, 7 Monday 4:30-5:30 pm ( 5 and 6 are full) Grades 3-7 Monday 6:30-7:30 pm Grade ML2 Monday 6:30-7:30 pm (students in grades 8-11 that need the Sacraments of First Holy Communion and/or Confirmation) Grades 3, 4, 7 Tuesday 4:30-5:30 pm ( 5 and 6 are full ) Grades 8 and ML3 (Confirmation Classes) Tuesday 6:30 pm - 7:30 pm Grade K Tuesday 4:30-5:00
- Confirmation fee (CONFIRMATION STUDENT ONLY)
Student Name 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Please Check One REQUIRED Male Female Please fill out this field.
- Does child lives with both parents? Other? REQUIRED Please fill out this field. Please enter valid data.
- Email Student will be using for Virtual Classroom REQUIRED Please fill out this field. Please enter an email address.
- Sacraments Recieved (if new to this program, a copy of the certificate is required ) REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
- Name and Address of Church, Date of Sacrament (s) Please enter valid data.
- Any Allergies, IEP, Disabilities (physical, learning, emotional) REQUIRED Please fill out this field. Please enter valid data.
- Name of Public School Attending REQUIRED Please fill out this field. Please enter valid data.
- Student Grade in September REQUIRED Please fill out this field. Please enter valid data.
- Student Religion Grade In September REQUIRED Please fill out this field. Please enter valid data.
- Please Select One Choice REQUIRED Virtual Online Classroom (students will meet online with a Catechist along with other students once a week during the session you choose). More info to follow. At Home Program for grades 3-7 only. ( parent and student work together to complete weekly online lessons). More info to follow. Please fill out this field.
- Please choose one from the following Virtual Classroom options: Grade 1 Sunday 9:00-10:00 am Grade 2 Sunday 9:00-10:00 am Grade ML1 Sunday 9:00-10:00 am (for students in grades 3-6 that have not received First Holy Communion) Grades 3, 4, 7 Monday 4:30-5:30 pm ( 5 and 6 are full) Grades 3-7 Monday 6:30-7:30 pm Grade ML2 Monday 6:30-7:30 pm (students in grades 8-11 that need the Sacraments of First Holy Communion and/or Confirmation) Grades 3, 4, 7 Tuesday 4:30-5:30 pm ( 5 and 6 are full ) Grades 8 and ML3 (Confirmation Classes) Tuesday 6:30 pm - 7:30 pm Grade K Tuesday 4:30-5:00
- Confirmation fee (CONFIRMATION STUDENT ONLY)
Student Name 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Please Check One REQUIRED Male Female Please fill out this field.
- Does child lives with both parents? Other? REQUIRED Please fill out this field. Please enter valid data.
- Email Student will be using for Virtual Classroom REQUIRED Please fill out this field. Please enter an email address.
- Sacraments Recieved (if new to this program, a copy of the certificate is required ) REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
- Name and Address of Church, Date of Sacrament (s) Please enter valid data.
- Any Allergies, IEP, Disabilities (physical, learning, emotional) REQUIRED Please fill out this field. Please enter valid data.
- Name of Public School Attending REQUIRED Please fill out this field. Please enter valid data.
- Student Grade in September REQUIRED Please fill out this field. Please enter valid data.
- Student Religion Grade In September REQUIRED Please fill out this field. Please enter valid data.
- Please Select One Choice REQUIRED Virtual Online Classroom (students will meet online with a Catechist along with other students once a week during the session you choose). More info to follow. At Home Program for grades 3-7 only. ( parent and student work together to complete weekly online lessons). More info to follow. Please fill out this field.
- Please choose one from the following Virtual Classroom options: Grade 1 Sunday 9:00-10:00 am Grade 2 Sunday 9:00-10:00 am Grade ML1 Sunday 9:00-10:00 am (for students in grades 3-6 that have not received First Holy Communion) Grades 3, 4, 7 Monday 4:30-5:30 pm ( 5 and 6 are full) Grades 3-7 Monday 6:30-7:30 pm Grade ML2 Monday 6:30-7:30 pm (students in grades 8-11 that need the Sacraments of First Holy Communion and/or Confirmation) Grades 3, 4, 7 Tuesday 4:30-5:30 pm ( 5 and 6 are full ) Grades 8 and ML3 (Confirmation Classes) Tuesday 6:30 pm - 7:30 pm Grade K Tuesday 4:30-5:00
- Confirmation fee (CONFIRMATION STUDENT ONLY)
Student Name 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Please Check One REQUIRED Male Female Please fill out this field.
- Does child lives with both parents? Other? REQUIRED Please fill out this field. Please enter valid data.
- Email Student will be using for Virtual Classroom REQUIRED Please fill out this field. Please enter an email address.
- Sacraments Recieved (if new to this program, a copy of the certificate is required ) REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
- Name and Address of Church, Date of Sacrament (s) Please enter valid data.
- Any Allergies, IEP, Disabilities (physical, learning, emotional) REQUIRED Please fill out this field. Please enter valid data.
- Name of Public School Attending REQUIRED Please fill out this field. Please enter valid data.
- Student Grade in September REQUIRED Please fill out this field. Please enter valid data.
- Student Religion Grade In September REQUIRED Please fill out this field. Please enter valid data.
- Please Select One Choice REQUIRED Virtual Online Classroom (students will meet online with a Catechist along with other students once a week during the session you choose). More info to follow. At Home Program for grades 3-7 only. ( parent and student work together to complete weekly online lessons). More info to follow. Please fill out this field.
- Please choose one from the following Virtual Classroom options: Grade 1 Sunday 9:00-10:00 am Grade 2 Sunday 9:00-10:00 am Grade ML1 Sunday 9:00-10:00 am (for students in grades 3-6 that have not received First Holy Communion) Grades 3, 4, 7 Monday 4:30-5:30 pm ( 5 and 6 are full) Grades 3-7 Monday 6:30-7:30 pm Grade ML2 Monday 6:30-7:30 pm (students in grades 8-11 that need the Sacraments of First Holy Communion and/or Confirmation) Grades 3, 4, 7 Tuesday 4:30-5:30 pm ( 5 and 6 are full ) Grades 8 and ML3 (Confirmation Classes) Tuesday 6:30 pm - 7:30 pm Grade K Tuesday 4:30-5:00
- Confirmation fee (CONFIRMATION STUDENT ONLY)
Student Name 9
- 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Please Check One REQUIRED Male Female Please fill out this field.
- Does child lives with both parents? Other? REQUIRED Please fill out this field. Please enter valid data.
- Email Student will be using for Virtual Classroom REQUIRED Please fill out this field. Please enter an email address.
- Sacraments Recieved (if new to this program, a copy of the certificate is required ) REQUIRED Baptism First Holy Communion Confirmation None Please fill out this field.
- Name and Address of Church, Date of Sacrament (s) Please enter valid data.
- Any Allergies, IEP, Disabilities (physical, learning, emotional) REQUIRED Please fill out this field. Please enter valid data.
- Name of Public School Attending REQUIRED Please fill out this field. Please enter valid data.
- Student Grade in September REQUIRED Please fill out this field. Please enter valid data.
- Student Religion Grade In September REQUIRED Please fill out this field. Please enter valid data.
- Please Select One Choice REQUIRED Virtual Online Classroom (students will meet online with a Catechist along with other students once a week during the session you choose). More info to follow. At Home Program for grades 3-7 only. ( parent and student work together to complete weekly online lessons). More info to follow. Please fill out this field.
- Please choose one from the following Virtual Classroom options: Grade 1 Sunday 9:00-10:00 am Grade 2 Sunday 9:00-10:00 am Grade ML1 Sunday 9:00-10:00 am (for students in grades 3-6 that have not received First Holy Communion) Grades 3, 4, 7 Monday 4:30-5:30 pm ( 5 and 6 are full) Grades 3-7 Monday 6:30-7:30 pm Grade ML2 Monday 6:30-7:30 pm (students in grades 8-11 that need the Sacraments of First Holy Communion and/or Confirmation) Grades 3, 4, 7 Tuesday 4:30-5:30 pm ( 5 and 6 are full ) Grades 8 and ML3 (Confirmation Classes) Tuesday 6:30 pm - 7:30 pm Grade K Tuesday 4:30-5:00
- Confirmation fee (CONFIRMATION STUDENT ONLY)

Emergency Contact Name, Relationship/Phone # REQUIRED Please fill out this field. Please enter valid data.

I acknowledge receipt of St. John's Religious Education Handbook (available on the website @ sjegoshen.org) and I agree to comply with all policies. REQUIRED I agree Please fill out this field.

I acknowledge receipt of informational material regarding our Safe Environment Program (online @ sjegoshen.org) REQUIRED I agree Please fill out this field.

I give permission for my child to be photographed during any church event. REQUIRED I agree Please fill out this field.

Registration Fee (PLEASE DO NOT INCLUDE CONFIRMATION CANDIDATES IN FAMILY TOTAL)

Will you be volunteering? Catechist Catechist Aide

Today's Date REQUIRED Please fill out this field. Please enter valid data.

church of St. John the Evangelist

Goshen, New York

Religious Education Registration 2020-2021