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St. Mary of the Angels Parish - Religious Education Office
Family Registration ------------------------------ Please Print

Family Last Name: ________________________________

Father's Name ___________________________________ Religion: __________________

Mother's Maiden Name: ____________________________ Religion: __________________

Address: ____________________________________________

City / State / Zip: _________________________________________

Telephone: _____________________________________________
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FOR STUDENTS PREVIOUSLY REGISTERED;

STUDENTS NAME

GRADE IN SEPTEMBER

$20.00 PER CHILD
1.    
2.    
3.    
4.    
5.    
FOR STUDENTS NEW TO THE RELIGIOUS EDUCATION PROGRAM:

Student's Name: ____________________________________

Date of Birth: _______________________________________

Baptism:
[ ] NO [ ] YES - Church______________________ City / State: ___________________
First Penance:
[ ] NO [ ] YES - Church______________________ City / State: ___________________
First Communion:
[ ] NO [ ] YES - Church______________________ City / State: ___________________
Confirmation:
[ ] NO [ ] YES - Church______________________ City / State: ___________________