Religious Formation Registration

Parent/Guardian Name(s):

Last: First:
Maiden Name:
Phone Number:

Email:

How would you like to be contacted?
Email Phone
Name of Spouse:

Last: First:
Maiden Name:

Phone Number:

Email:

How would you like to be contacted?
Email Phone
What parish are you registered in?
Estancia Valley Catholic Parish
Other (Name):

Dependent Children Information

Relationship to Head of Household
First Name Middle Name Last Name Gender Birthdate (mm/dd/yyyy)

Check if Sacrament received. Baptism Catholic Eucharist Reconciliation Confirmation

Location.

Add Date if known.

Who Has Custody? Grade Site for Classes: Moriarty Estancia Edgewood

Check if Sacrament received. Baptism Catholic Eucharist Reconciliation Confirmation

Location.

Add Date if known.

Who Has Custody? Grade Site for Classes: Moriarty Estancia Edgewood

Check if Sacrament received. Baptism Catholic Eucharist Reconciliation Confirmation

Location.

Add Date if known.

Who Has Custody? Grade Site for Classes: Moriarty Estancia Edgewood

Check if Sacrament received. Baptism Catholic Eucharist Reconciliation Confirmation

Location.

Add Date if known.

Who Has Custody? Grade Site for Classes: Moriarty Estancia Edgewood

Please fill in all blank boxes and provide changes where necessary. If need to add additional members please contact the parish office.

Relationship to Head of Household	First Name	Middle Name	Last Name	Gender	Birthdate (mm/dd/yyyy)

Check if Sacrament received.	Baptism	Catholic	Eucharist	Reconciliation	Confirmation
Location.
Add Date if known.
Who Has Custody?		Grade	Site for Classes:	Moriarty Estancia	Edgewood