Brazillian Religious Ed Registration

Family Last Name REQUIRED Please fill out this field. Please enter valid data.

Address 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.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Primary Email (all information will be sent to this email address) REQUIRED Please fill out this field. Please enter an email address.

Registered Parish REQUIRED St. James Immaculate Conception Please fill out this field.

Student 1 Name REQUIRED Please fill out this field. Please enter valid data.

Date of Birth Please enter valid data.

Student 1 Grade Level in September 2026 REQUIRED Please fill out this field.

Sessions Choices REQUIRED Grades 1-6 (Sundays 8:00-8:55am) Confirmation 1 (Sunday 9:00 - 11:30 am 2x a month) Confirmation 2 (Sunday 9:00 - 11:30 am 2x a month) Please fill out this field.

Baptized Date and Name of Church and Town Please enter valid data.

Special Learning Needs and Medical Information Please enter valid data.

Student 2 Name Please enter valid data.

Date of Birth Please enter valid data.

Student 2 Grade Level in September 2026

Sessions Choices Grades 1-6 (Sundays 8:00-8:55am) Confirmation 1 (Sunday 9:00 - 11:30 am 2x month) Confirmation 2 (Sunday 9:00 - 11:30 am 2x month))

Baptized Date and Name of Church and Town Please enter valid data.

Special Learning Needs and Medical Information Please enter valid data.

Student 3 Name Please enter valid data.

Date of Birth Please enter valid data.

Student 3 Grade Level in September 2026

Sessions Choices Grades 1-6(Sundays 8:00-8:55am) Confirmation 1(Sunday 9:00 - 11:30 am 2x month) Confirmation 2 (Sunday 9:00 - 11:30 am 2x month)

Baptized Date and Name of Church and Town Please enter valid data.

Special Learning Needs and Medical Information Please enter valid data.

Student 4 Name Please enter valid data.

Date of Birth Please enter valid data.

Student 4 Grade Level in September 2026

Sessions Choices REQUIRED Grades 1-6 (Sundays 8:00-8:55am) Confirmation 1 (Sunday 9:00 - 11:30 am 2x month)) Confirmation 2 (Sunday 9:00 - 11:30 am 2x month) Please fill out this field.

Baptized Date and Name of Church and Town Please enter valid data.

Special Learning Needs and Medical Information Please enter valid data.

Father's Full Name Please enter valid data.

Father's Religion Please enter valid data.

Address: If Different Please enter valid data.

Mother's Full Name Please enter valid data.

Mother's Maiden Name Please enter valid data.

Mother's Religion Please enter valid data.

Address: If Different Please enter valid data.

Volunteer as a Teacher or an Assistant I am available to teach I am available to assist

Emergency Contact Name Please enter valid data.

Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.

2025-2026 Religious Ed Payment REQUIRED Please fill out this field.

Brazillian Religious Ed Registration

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Religious Ed. Forms

2026-2027 Brazillian Religious Ed. Registration