2022-2023 Religious Education Registration Form

Parent(s) Name(s) REQUIRED Please fill out this field. Please enter valid data.

Street 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.

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

Parent/Caregiver's Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.

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

Home Church REQUIRED Please fill out this field. Please enter valid data.

This form allows you to register up to 3 children at one time, regardless of program option. If you are registering more than 3 children for Religious Ed, please fill this form out again or see Mary Catherine for a hard copy.

Child's Name (1) REQUIRED Please fill out this field. Please enter valid data.

Child's Date of Birth (1) REQUIRED Please fill out this field. Please enter valid data.

Child's Grade for the '22-'23 School Year (1) REQUIRED Please fill out this field. Please enter valid data.

Child (1) Has Been Baptized? REQUIRED Yes No Please fill out this field.

If yes, where? If no, please contact us soon. REQUIRED Please fill out this field. Please enter valid data.

Child's Program (1) REQUIRED 11:00 a.m. PreK - 8th grade Program Home-based/Home-school Option Please fill out this field.

Sacrament Prep Needed? (Child 1) REQUIRED First Communion Confirmation Not Applicable Please fill out this field.

Allergies or Other Medical Conditions? (Child 1) REQUIRED Please fill out this field.

Child's Name (2) Please enter valid data.

Child's Date of Birth (2) Please enter valid data.

Child's Grade for the '22-'23 School Year (2) Please enter valid data.

Child (2) Has Been Baptized? Yes No

If yes, where? If no, please contact us soon. Please enter valid data.

Child's Program (2) 11:00 a.m. PreK - 8th grade Program Home-based/Home-school Option

Sacrament Prep Needed? (Child 2) First Communion Confirmation Not Applicable

Allergies or Other Medical Conditions? (Child 2)

Child's Name (3) Please enter valid data.

Child's Date of Birth (3) Please enter valid data.

Child's Grade for the '22-'23 School Year (3) Please enter valid data.

Child (3) Has Been Baptized? Yes No

If yes, where? If no, please contact us soon. Please enter valid data.

Child's Program (3) 11:00 a.m. Pre-K - 8th grade Program Home-based/Home-school Option

Sacrament Prep Needed? (Child 3) First Communion Confirmation Not Applicable

Allergies or Other Medical Conditions? (Child 3)

In the event of an emergency during class time, please provide a phone number where we can reach you or a trusted guardian.

Emergency Contact (please give name, relationship, and phone number. You may give more than one name/number.) REQUIRED

Please make sure this person can be contacted during your child's RE program time.

Please fill out this field. Please enter valid data.

Below is the tuition agreement for the 2022-2023 Religious Education program for both home-based families and the 11:00 program.

Tuition Plan REQUIRED Please fill out this field.

Scholarships are available for those in financial need. Please contact Mary Catherine for more information.

I will pay the amount indicated above in:

# of payments REQUIRED Please fill out this field.

Please make payments via check or Venmo.

Checks should be made payable to St. Paul/Christ the King Religious Education. Checks can be dropped off at the Parish Offices or turned in on the first day of classes (Sunday, September 18). Please make sure they are clearly marked for the Religious Education program.

For Venmo, search for CTK St Paul RE (username: @CTK-StPaulRE)

If you are paying on a payment plan, please contact Mary Catherine to schedule payment dates.

I commit to the plan indicated above for paying tuition for the 2022-2023 Religious Education Program.

I Agree Please select this field.

Photo Release for Minors Statement

I, the parent/guardian of the child(ren) above, give my consent for my child(ren) to be photographed for print, video, or electronic imaging (for use on the parish website). I understand that the image may be used in promotional materials, news releases, and other published formats by the St. Paul/Christ the King Religious Education/Confirmation Program. I acknowledge that the images will be the sole property of the Catholic Parishes of Athens & Meigs Counties.

Photo Release for Minors Agreement I give consent based on the Photo Release Statement. I DO NOT give consent. Don't use my child's image.

Diocesan Permission

Check here to give permission

I give my child(ren) permission to attend Religious Education Classes. I understand that I can contact Mary Catherine Kennedy or Fr. Mark Moore if I have any questions or concerns about any of the activities.

I understand that filling out this online form and clicking submit below constitutes the signatures required to grant my child(ren) permission to attend Religious Education Classes for the 2022-2023 academic year with the Catholic Parishes of Athens & Meigs Counties.

The Catholic Parishes
of Athens & Meigs Counties, Ohio

75 Stewart Street
Athens, OH

2022-2023 Religious Education Registration Form

Religious Education Registration 2022-2023