Facebook Instagram

Children's Church

- Religious Education
Documents
- Religious Education Paper registration form
Contact Us
- Misty Herpin
  
  Children's Church coordinator
  
  misty.herpingmail.com

(no fee associated with this program)
Cancelled until further notice
ONLINE REGISTRATION for Religious Education... Confirmation can be found under the Sacraments tab.
The maximum number of form submissions has been reached. This form is currently not available.
- Main Contact Email Address REQUIRED
  Primary method of communication
  Please fill out this field. Please enter an email address.
- Family Information
  
  Family Last 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.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Registered parishioners at St. Mary Parish? REQUIRED Yes No* Please fill out this field.
  
  *If no, where are you registered? Please enter valid data.
  
  Father's Name Please enter valid data.
  
  Father's Phone Number Maximum 20 characters Please enter a phone number.
  
  Mother's Name Please enter valid data.
  
  Mothers Maiden Name REQUIRED Please fill out this field. Please enter valid data.
  
  Mother's Phone Number Maximum 20 characters Please enter a phone number.
  
  Student(s) reside with Please enter valid data.
- Number of Children Registering REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Which program are you registering for: 2nd Grade is not eligible for Online CCD Classes REQUIRED Please fill out this field.
  
  I give my consent to contact my child via his/her email and or Phone REQUIRED Please fill out this field.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Which program are you registering for: 2nd Grade is not eligible for Online CCD Classes REQUIRED Please fill out this field.
  
  I give my consent to contact my child via his/her email and or Phone REQUIRED Please fill out this field.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Which program are you registering for: 2nd Grade is not eligible for Online CCD Classes REQUIRED Please fill out this field.
  
  I give my consent to contact my child via his/her email and or Phone REQUIRED Please fill out this field.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  School REQUIRED Please fill out this field. Please enter valid data.
  
  Which program are you registering for: 2nd Grade is not eligible for Online CCD Classes REQUIRED Please fill out this field.
  
  I give my consent to contact my child via his/her email and or Phone REQUIRED Please fill out this field.
- Child's Email and or Child's Phone
- I give St. Mary Church my permission for Use of Photos to be used on St. Mary Website REQUIRED Please fill out this field.
- Would you like to be a volunteer? REQUIRED YES! So happy you asked! Sorry, I can't this year Please fill out this field.
- Registration Fees are as follows: These fees cover books and supplies.
  
  Out of Parish Family Fee $35.00
     (If you are NOT a parishioner of St. Mary Parish, Please add this fee to your total)
  
  Elementary, Jr. High (Edge) and At Home
     (1 Child) $45.00
     (2 Children)    $60.00
     (3+ Children)    $85.00
  
  High School (Life Teen)
  (1 Child)    $60.00
  (2 Children) $75.00
  (3+ Children) $100.00
  
  First Communion per child    $50.00
  
  For information on Confirmation, please visit the Confirmation Page under Sacraments.
Submit

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.