St. Philip Roman

Catholic Church

Diocese of Kalamazoo, MI

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Religious Ed Registration Form

- Parish Life
  - Music Ministry
    
    Adult Choir
    Cantors
    Instrumentalists
    Liturgical Ensemble
    Music Ministry
  - Religious Education
    
    Religious Ed Calendar
    Catechist
    Formed
    Religious Ed Registration Form
    
    Register
    Payment (2022-2023)
    Vacation Bible School
  - Faith Formation
    
    RCIA
  - Liturgy
    
    Altar Servers
    Extraordinary Ministers
    Hospitality
    Lectors
    Sacristans
    Ushers

Registration is $50 Per Student or $80 maximum for a Family.
On line course $30.00

Scholarships and arrangements for making payments are available, please contact the parish office for more information at 968-6645.
The maximum number of form submissions has been reached. This form is currently not available.
- Father's Last Name Please enter valid data.
- Father's First Name Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Is this a cell phone that can receive texts? REQUIRED
  During this school year we have set up a system that will allow us to send a text to you when necessary.
  Please fill out this field.
- Street Address 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.
- Mother's Last Name Please enter valid data.
- Mother's First Name Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number (If different from father's) REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Is this a cell phone that can receive texts? REQUIRED
  During this school year we have set up a system that will allow us to send a text to you when necessary.
  Please fill out this field.
- Mother's Street Address, if different 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.
- Parish currently registered Please enter valid data.
- Allowed to pick up student other than parent REQUIRED Please fill out this field.
  
  Name 1
  
  Authorized Pickup Individual(s)
  Enter the name of anyone other than parents authorized to pick up your children from school.
  Please enter valid data.
  
  Name 2
  
  Authorized Pickup Individual(s)
  Enter the name of anyone other than parents authorized to pick up your children from school.
  Please enter valid data.
  
  Name 3
  
  Authorized Pickup Individual(s)
  Enter the name of anyone other than parents authorized to pick up your children from school.
  Please enter valid data.
  
  Name 4
  
  Authorized Pickup Individual(s)
  Enter the name of anyone other than parents authorized to pick up your children from school.
  Please enter valid data.
- Are you interested in a virtual class?
  If you have a student who requires a virtual class, please choose "Yes".
  Yes No
- Number of Children registering REQUIRED Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Date of Baptism Please enter a date.
  
  Place of Baptism (Church, City/State) Please enter valid data.
  
  Date of First Communion Please enter a date.
  
  Place of First Communion (Church, City/State) Please enter valid data.
  
  School Attending Please enter valid data.
  
  Special Needs/Learning Disabilities Yes No
  
  PHOTO RELEASE
  
  I hereby grant permission to St. Philip Parish to publish my child's or children's name, photo or video image in connection with a display, feature story or other publications as deemed appropriate by the Parish.
  
  This photo may be used in connection with promotions of parish programs on the webpage, bulletins, Facebook page, and other forms of communications of St. Philip Parish.
  
  I agree yes you may use my child's or children's photo
  
  Permission is granted by: Please enter valid data.
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Date of Baptism Please enter a date.
  
  Place of Baptism (Church, City/State) Please enter valid data.
  
  Date of First Communion Please enter a date.
  
  Place of First Communion (Church, City/State) Please enter valid data.
  
  School Attending Please enter valid data.
  
  Special Needs/Learning Disabilities Yes No
  
  PHOTO RELEASE
  
  I hereby grant permission to St. Philip Parish to publish my child's or children's name, photo or video image in connection with a display, feature story or other publications as deemed appropriate by the Parish.
  
  This photo may be used in connection with promotions of parish programs on the webpage, bulletins, Facebook page, and other forms of communications of St. Philip Parish.
  
  I agree yes you may use my child's or children's photo
  
  Permission is granted by: Please enter valid data.
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Date of Baptism Please enter a date.
  
  Place of Baptism (Church, City/State) Please enter valid data.
  
  Date of First Communion Please enter a date.
  
  Place of First Communion (Church, City/State) Please enter valid data.
  
  School Attending Please enter valid data.
  
  Special Needs/Learning Disabilities Yes No
  
  PHOTO RELEASE
  
  I hereby grant permission to St. Philip Parish to publish my child's or children's name, photo or video image in connection with a display, feature story or other publications as deemed appropriate by the Parish.
  
  This photo may be used in connection with promotions of parish programs on the webpage, bulletins, Facebook page, and other forms of communications of St. Philip Parish.
  
  I agree yes you may use my child's or children's photo
  
  Permission is granted by: Please enter valid data.
  
  Student 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Date of Baptism Please enter a date.
  
  Place of Baptism (Church, City/State) Please enter valid data.
  
  Date of First Communion Please enter a date.
  
  Place of First Communion (Church, City/State) Please enter valid data.
  
  School Attending Please enter valid data.
  
  Special Needs/Learning Disabilities Yes No
  
  PHOTO RELEASE
  
  I hereby grant permission to St. Philip Parish to publish my child's or children's name, photo or video image in connection with a display, feature story or other publications as deemed appropriate by the Parish.
  
  This photo may be used in connection with promotions of parish programs on the webpage, bulletins, Facebook page, and other forms of communications of St. Philip Parish.
  
  I agree yes you may use my child's or children's photo
  
  Permission is granted by: Please enter valid data.
  
  Student 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Date of Baptism Please enter a date.
  
  Place of Baptism (Church, City/State) Please enter valid data.
  
  Date of First Communion Please enter a date.
  
  Place of First Communion (Church, City/State) Please enter valid data.
  
  School Attending Please enter valid data.
  
  Special Needs/Learning Disabilities Yes No
  
  PHOTO RELEASE
  
  I hereby grant permission to St. Philip Parish to publish my child's or children's name, photo or video image in connection with a display, feature story or other publications as deemed appropriate by the Parish.
  
  This photo may be used in connection with promotions of parish programs on the webpage, bulletins, Facebook page, and other forms of communications of St. Philip Parish.
  
  I agree yes you may use my child's or children's photo
  
  Permission is granted by: Please enter valid data.
  
  Student 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Date of Baptism Please enter a date.
  
  Place of Baptism (Church, City/State) Please enter valid data.
  
  Date of First Communion Please enter a date.
  
  Place of First Communion (Church, City/State) Please enter valid data.
  
  School Attending Please enter valid data.
  
  Special Needs/Learning Disabilities Yes No
  
  PHOTO RELEASE
  
  I hereby grant permission to St. Philip Parish to publish my child's or children's name, photo or video image in connection with a display, feature story or other publications as deemed appropriate by the Parish.
  
  This photo may be used in connection with promotions of parish programs on the webpage, bulletins, Facebook page, and other forms of communications of St. Philip Parish.
  
  I agree yes you may use my child's or children's photo
  
  Permission is granted by: Please enter valid data.
  
  Student 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Date of Baptism Please enter a date.
  
  Place of Baptism (Church, City/State) Please enter valid data.
  
  Date of First Communion Please enter a date.
  
  Place of First Communion (Church, City/State) Please enter valid data.
  
  School Attending Please enter valid data.
  
  Special Needs/Learning Disabilities Yes No
  
  PHOTO RELEASE
  
  I hereby grant permission to St. Philip Parish to publish my child's or children's name, photo or video image in connection with a display, feature story or other publications as deemed appropriate by the Parish.
  
  This photo may be used in connection with promotions of parish programs on the webpage, bulletins, Facebook page, and other forms of communications of St. Philip Parish.
  
  I agree yes you may use my child's or children's photo
  
  Permission is granted by: Please enter valid data.
  
  Student 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Date of Baptism Please enter a date.
  
  Place of Baptism (Church, City/State) Please enter valid data.
  
  Date of First Communion Please enter a date.
  
  Place of First Communion (Church, City/State) Please enter valid data.
  
  School Attending Please enter valid data.
  
  Special Needs/Learning Disabilities Yes No
  
  PHOTO RELEASE
  
  I hereby grant permission to St. Philip Parish to publish my child's or children's name, photo or video image in connection with a display, feature story or other publications as deemed appropriate by the Parish.
  
  This photo may be used in connection with promotions of parish programs on the webpage, bulletins, Facebook page, and other forms of communications of St. Philip Parish.
  
  I agree yes you may use my child's or children's photo
  
  Permission is granted by: Please enter valid data.
  
  Student 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Date of Baptism Please enter a date.
  
  Place of Baptism (Church, City/State) Please enter valid data.
  
  Date of First Communion Please enter a date.
  
  Place of First Communion (Church, City/State) Please enter valid data.
  
  School Attending Please enter valid data.
  
  Special Needs/Learning Disabilities Yes No
  
  PHOTO RELEASE
  
  I hereby grant permission to St. Philip Parish to publish my child's or children's name, photo or video image in connection with a display, feature story or other publications as deemed appropriate by the Parish.
  
  This photo may be used in connection with promotions of parish programs on the webpage, bulletins, Facebook page, and other forms of communications of St. Philip Parish.
  
  I agree yes you may use my child's or children's photo
  
  Permission is granted by: Please enter valid data.
  
  Student 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Middle Name Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Date of Baptism Please enter a date.
  
  Place of Baptism (Church, City/State) Please enter valid data.
  
  Date of First Communion Please enter a date.
  
  Place of First Communion (Church, City/State) Please enter valid data.
  
  School Attending Please enter valid data.
  
  Special Needs/Learning Disabilities Yes No
  
  PHOTO RELEASE
  
  I hereby grant permission to St. Philip Parish to publish my child's or children's name, photo or video image in connection with a display, feature story or other publications as deemed appropriate by the Parish.
  
  This photo may be used in connection with promotions of parish programs on the webpage, bulletins, Facebook page, and other forms of communications of St. Philip Parish.
  
  I agree yes you may use my child's or children's photo
  
  Permission is granted by: Please enter valid data.
- Children REQUIRED Please fill out this field.
  
  Name of Child 1
  
  Grade Please enter valid data.
  
  Name of Child 2
  
  Grade Please enter valid data.
  
  Name of Child 3
  
  Grade Please enter valid data.
  
  Name of Child 4
  
  Grade Please enter valid data.
  
  Name of Child 5
  
  Grade Please enter valid data.
  
  Name of Child 6
  
  Grade Please enter valid data.
  
  Name of Child 7
  
  Grade Please enter valid data.
  
  Name of Child 8
  
  Grade Please enter valid data.
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