LISTS_____ICF_____PS____FOLDER_____ATT REG_____SR_____
SAINT GABRIEL RELIGIOUS EDUCATION REGISTRATION FORM
FOR NEW STUDENTS 2013/2014
PLEASE COMPLETE ALL AREAS OF THIS FORM
Student’s name: _________________________________________________________________________
(Last name)
(First name- NO NICKNAMES)
Male or female: __________Is this the oldest child in the program? ________________________________
Father’s full name _______________________ (Biological)
Father’s religion __________________
Mother’s name __________________________ (Biological)
&
Maiden name _____________________________
Mother’s religion __________________
Mailing name (only if different from the child's name) ______________________________________________
Address _________________________________________________________
__________________________________________________________
Home phone number _____________________ Cell phone number (ICE) ______________________________
Student’s date of Birth ____________________ Student’s date of Baptism _________________________
A COPY OF THE STUDENT’S BAPTISMAL CERTIFICATE MUST BE ATTACHED
TO THIS FORM. WE WILL NOT ACCEPT THIS APPLICATION WITHOUT
PROPER DOCUMENTATION.
Has the student received First Reconciliation? If so, when?
________________________________
Has the student received First Communion? If so, when? ____________________________________
Has the student received Confirmation? If so, when?
_______________________________________
What GRADE & SCHOOL will the student be in September 2013? _____________________________
Signature: _________________________________Date:______________________________________
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
OFFICE USE ONLY:
TUITION FEE__________________
SACRAMENT_________________
TOTAL AMT. PD.______________
CHECK#_________DATE___/____/2013