Religious Education 2018-2019 School Year

Online Registration Form

 

Welcome to the online registration form for the 2018-2019 Religious Education program here at St. Patrick Parish.  Once you fill in the information and "click" the submit button, you will be given an option to pay online or you can mail your check to the parish office at 40 School Street, Newport, NH 03773.  All payments must be made out to St. Patrick Parish.  (If assistance is needed, please contact our Director of Faith Formation at 603-863-1422x5 to make arrangements.)

Contact Information
Is your family registered in St. Patrick's parish?
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Last Name
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Address
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Father's Name
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Mother's Name
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Primary Phone --
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Secondary Phone --
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Email
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Emergency Contact Name
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Emergency Contact Relationship
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Emergency Phone Number --
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Volunteer Preferences
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Please indicate if you are able to help out with the Religious Education program this year.
Child 1
Student Name
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Birth Date //
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Age
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School
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If "other," please name this student's school.
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Grade Level
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Special Needs / Medications / Allergies
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Please list student's needs. Send procedure plan to parish office if needed.
Is this a Sacrament year?
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Please complete additional forms for First Communion / Confirmation.
Date of Baptism //
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Church of Baptism
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Please write name of church in "Street 1" field.
Was this student registered in Religious Education at St. Patrick's last year?
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If "No" where did he / she receive faith formation last year?
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Child 2
Student Name
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Birth Date //
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Age
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School
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If "other," please name this student's school.
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Grade Level
  •  
Special Needs / Medications / Allergies
  •  
Please list student's needs. Send procedure plan to parish office if needed.
Is this a Sacrament year?
  •  
Please complete additional forms for First Communion / Confirmation.
Date of Baptism //
  •  
Church of Baptism
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Please write name of church in "Street 1" field.
Was this student registered in Religious Education at St. Patrick's last year?
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If "No" where did he / she receive faith formation last year?
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Child 3
Student Name
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Birth Date //
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Age
  •  
School
  •  
If "other," please name this student's school.
  •  
Grade Level
  •  
Special Needs / Medications / Allergies
  •  
Please list student's needs. Send procedure plan to parish office if needed.
Is this a Sacrament year?
  •  
Please complete additional forms for First Communion / Confirmation.
Date of Baptism //
  •  
Church Of Baptism
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Please write name of church in "Street 1" field.
Was this student registered in Religious Education at St. Patrick's last year?
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If "No" where did he / she receive faith formation last year?
  •  
Child 4
Student Name
  •  
Birth Date //
  •  
Age
  •  
School
  •  
If "other," please name this student's school.
  •  
Grade Level
  •  
Special Needs / Medications / Allergies
  •  
Please list student's needs. Send procedure plan to parish office if needed.
Is this a Sacrament year?
  •  
Please complete additional forms for First Communion / Confirmation.
Date of Baptism //
  •  
Church of Baptism
  •  
Please write name of church in "Street 1" field.
Was this student registered in Religious Education at St. Patrick's last year?
  •  
If "No" where did he / she receive faith formation last year?
  •  
  •  
Parent Signature
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Message Once you submit this form, the confirmation page will have information to help you calculate your tuition and make an online payment. For financial assistance, please call 603-863-1422x5. Thank You and God Bless!
 
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