2011- 2012 CORPUS CHRISTI R.E. / Y.M. REGISTRATION

Family      
Family Name: Father:
Mother: Mother's Maiden Name:
Address: City:
Zip Code: Envelope Number:
Phone Numbers:  
Home: (xxxxxxxxxx)
Father's Work: (xxxxxxxxxx)
Mother's Work: (xxxxxxxxxx)
In an emergency, we may need to contact a third party.
Please list an emergency contact person
and relation to your child
and their phone number (xxxxxxxxxx)
Other:  
Email Address (for use in sending RE/YM information):
Student lives with:
Father's Religion:
Mother's Religion:

We must have a copy of the Baptismal Certificate on file and record of any other sacraments received.

When form is complete click "Submit" to add Student information.