Religious Education Registration Form – School Year 2021-2022
Registrations are currently closed for this year
.

To register please fill out the following form, or click here to download a printable form (.pdf).
* Denotes required field.

    Student's Name *:

    Student's Age *:

    Grade in School *:

    Home Address *:

    City *:

    State *:

    Zip *:

    Home Phone:

    Primary Contact's Name (Parent/Guardian) *:

    Primary Contact's Cell Phone:

    Primary Contact's Email Address *:

    Secondary Contact's Name (Other Parent/Guardian):

    Secondary Contact's Cell Phone:

    Secondary Contact's Email Address:

    Child's Place & Date of Birth *:

    Church of Baptism, Location & Date *:

    Baptismal Certificate Submitted?

    Sacraments:

    First Eucharist:

    Confirmation:

    Prior Grades of Religious Education:

    Name and Location of Prior Religious Education School:

    Student Special Needs:

    Parish in which Family is Registered:

    For Questions or More Information, Please Contact:
    973-366-0060
    holyrosary@sacredheart-dover.com