Religious Education Registration

NOTE: Before attempting to register at St. Charles, please                                              consult the parish boundary map above to see if you reside within the territorial boundaries of our parish. According to Canon Law, membership in a parish is based solely on where you live. If you are unsure whether your residence falls within the boundaries, you can enter it here:

I understand and acknowledge that participation in the activities involves inherent risks of injury to my child. I agree to indemnify the Parish, Youth Ministers, Volunteers, and the Diocese of Arlington for any costs or expenses arising out of my child’s participation in the activities including the cost of any medical care given my child or any expenses or fees incurred in any lawsuit arising as a result of any damage or injuries caused by my child in the course of his or her participation in the activity. I further give my consent to that in my absence the above-named minor be admitted to any hospital or medical facility for diagnosis and treatment. I request and authorize physicians, dentists, and staff, duly licensed as Doctors of Medicine or Doctors of Dentistry or other such licensed technicians or nurses, to perform any diagnostic procedures, treatment procedures, operative procedures and x-ray treatment of the above minor. I have not been given a guarantee as to the results of examination or treatment. I authorize the hospital or medical facility to dispose of any specimen or tissue taken from the above-named minor. Signed (Parent/Guardian):
I give my permission to have my son’s or daughter’s picture used in photos or videos posted on the St. Charles Borromeo Parish website. Signed (Parent/Guardian):

Religious Education Registration Form
2017-2018

Registration for faith formation programs at St. Charles is now open.

Click Submit Form to send this information to St. Charles Borromeo Church.

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Instructions • For children in preschool through grade 6, please select a Class that your family is eligible for and that best fits your needs. Children receiving sacraments must attend RE Grade Base, Family Program, or (7th & 8th) On The WAY.
• On the Way is our program for 7th and 8th graders.
• WAY is our program for 9th-12th graders.
• If your child is interested in preparing for a sacrament this year, please note this in the Sacraments Desired"section.For Children receiving a sacrament, please email a copy of the Baptismal Certificate for each child to fsayre@stcharleschurch.org.
  
Registration Fee   $95.00

Student 1   Type  
*First Name *Last Name
*Birth Date *Gender Female   Male
*Grade/Degree
Sacraments   Name Received Date Place
   Baptism
   First Eucharist
   Confirmation
Class Choices
*Class
Student Remarks
  Sacrament(s) Desired
  Health Concerns
  Other

*Family Option  New Family Information  Update Existing Family Information ID/Env:  
       Note: Just enter the field(s) that need to be updated.

Head of Household
Title *First Name *Last Name
  Middle Name
*Gender Female   Male
*Marital Status
*Phone 1 ( ) -
*Email 1  
Send Email Instead of Mail When Possible

Spouse
Title   First Name   Last Name
Relationship
  Gender Female   Male
  Email 1  
Send Email Instead of Mail When Possible

Family Street Address
*Line 1
*City
*State
*ZIP

Family Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Family Email Address
*Email   Unlisted
Send Email Instead of Mail When Possible
Family Remarks
  Remarks


Click Submit Form to send this information to St. Charles Borromeo Church.