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2021-22 Religious Education Registration

- Religious Education
  - Religious Education Registration

You may down load a PFD copy of this form to print at home and return to the office or you may complete this form online and submit it.
If your family is new to our program, our Director of Religious Education will be in contact with you to confirm where your child has receive his or her sacraments.
Please remember that while our registration fee is $75 per student, no family will ever be turned away because they are not able to pay. If you are not able to pay please just let us know under the donation options and we will know to give your family a scholarship. Those using this option will not be billed.
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- Family Name REQUIRED Please fill out this field. Please enter valid data.
- Mailing Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Parent's Email REQUIRED Please fill out this field. Please enter an email address.
- Mother's Name Please enter valid data.
- Mother's Maiden Name Please enter valid data.
- Mother's Religion Please enter valid data.
- Cell Phone # REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Are you okay to receive texts on your cell phone for cancellations? REQUIRED
  Yes or No?
  Please fill out this field.
- Father's Name Please enter valid data.
- Father's Religion Please enter valid data.
- Cell Phone # Maximum 20 characters Please enter a phone number.
- Are you okay to receive texts on your cell phone for cancellations?
  Yes or No?
- Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Child's Full Name REQUIRED Please fill out this field. Please enter valid data.
- Grade REQUIRED Please fill out this field.
- Child's Full Name Please enter valid data.
- Grade
- Child's Full Name Please enter valid data.
- Grade
- Is there anything that we should know about your children so we can better serve your family?
- May we have permission to ask your High School Student for his or her email or cell phone to include them in flocknote notifications regarding their classes Yes No N/A
- Payment Options REQUIRED Please fill out this field.
- Religious Education Payment
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Saint Mary of the Hills

Bolyston, MA

2021-22 Religious Education Registration