Religious Education Student Registration Form

Child's Last Name (required)

Child's First Name (required)

Address

City

State

Zip

Telephone

Birth Date

Grade

Fathers Name

Mothers Name

Parent Email Address

Emergency Contact

Emergency Contact Phone #

Special Needs(Health,Autism,Allergies,Medication,etc.)

Baptism
YesNo

Baptized at All Saints of Fremont?
YesNo

First Confession?
YesNo

First Communion?
YesNo

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