Sacred Heart Religious Education Registration

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.

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, 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 Birth Date (1) REQUIRED Please fill out this field. Please enter valid data.

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

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

Child's Program (1) REQUIRED 10:30 PreK - 8th grade Program Home-based Option Please fill out this field.

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

Child (1) Has Been Baptized? REQUIRED Yes No 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 Birth Date (2) Please enter valid data.

Child's (2) Grade for the '22-'23 Academic Year 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) 10:30 PreK - 8th grade Program Home-based 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 Birth Date (3) Please enter valid data.

Child's (3) Grade for the '22-'23 Academic Year 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) 10:30 PreK - 8th grade Program Home-based 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 fill out this field. Please enter valid data.

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 Sacred Heart 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 REQUIRED I give consent based on the Photo Release Statement. I DO NOT give consent. Don't use my child's image. Please fill out this field.

Diocesan 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

Sacred Heart Religious Education Registration

Sacred Heart RE Registration