Registration Form

St. Peter Parish - Religious Ed. Registration Form

We ask for payment to be made at the time of registration. We request that if you can’t pay your entire invoice in full, then please pay half of the total due now and then setup up a payment plan for the remaining balance via our Online Payment System. Any prior balances due must be PAID but you may roll prior balances into the new fees and divide the total into manageable payments through the online payment plan.

* Indicates required field

Family Last Name *

Mother's Maiden Name *

Child's Name *

First

Last

Second Child's Name *

First

Last

Third Child's Name *

First

Last

Fourth Child's Name (list more in comments below) *

First

Last

Grade *

Second Child's grade *

Third Child's Grade *

Fourth Child's Grade *

Father's Name *

First

Last

Father's Phone/Cell *

Mother's Name *

First

Last

Mother's Phone/Cell *

Email *

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contact Name *

First

Last

Emergency Phone Number *

By typing your name below you consent that any still or electronic image and/or
audio recording in which you or your child(ren) may appear may be used by St. Peter's Parish.

Electronic Consent *

Additional Comments *

Submit

St. Peter Parish - Religious Ed. Registration Form

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