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Registration

- Faith Formation

Welcome to the St. Henry Religious Education Program!

We are delighted that you understand the importance of growing in faith.

Fees are $55 per child ($150 maximum, per family) and are paid by cash or check (payable to St. Henry Religious Education) prior to the first class.

Please contact Todd Weissenborn, Director of Religious Education, with any questions at  920-261-7273 or by email.

Grades 1-6 begin September 30, 2020
Grades 8-9 begin October 7, 2020.
Religious Education Registration
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- Parent Information
- Child(ren) reside with: REQUIRED Both Parents Father Mother Other Please fill out this field.
- In case of emergency, please contact: REQUIRED Father Mother Other Please fill out this field.
- Father's Information
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Email Please enter an email address.
  
  Religion Please enter valid data.
  
  Parish Member? Yes No
  
  Occupation Please enter valid data.
  
  Employer Please enter valid data.
- Mother's Information
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Email Please enter an email address.
  
  Religion Please enter valid data.
  
  Parish Member? Yes No
  
  Occupation Please enter valid data.
  
  Employer Please enter valid data.
- Student Information
- Number of Children Being Registered for Religious Education REQUIRED Please fill out this field.
  
  Child 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  School Name (for 2020-21 School Year) Please enter valid data.
  
  Grade (for 2020-21 School Year) Please enter valid data.
  
  Was your child Baptized? Yes No
  
  Date and Location of Baptism
  
  Did your child receive First Reconciliation? Yes No
  
  Date and Location of First Reconciliation
  
  Did your child receive First Communion? Yes No
  
  Date and Location of First Communion
  
  Does your child have any special needs that we should be aware of?
  
  Child 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  School Name (for 2020-21 School Year) Please enter valid data.
  
  Grade (for 2020-21 School Year) Please enter valid data.
  
  Was your child Baptized? Yes No
  
  Date and Location of Baptism
  
  Did your child receive First Reconciliation? Yes No
  
  Date and Location of First Reconciliation
  
  Did your child receive First Communion? Yes No
  
  Date and Location of First Communion
  
  Does your child have any special needs that we should be aware of?
  
  Child 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  School Name (for 2020-21 School Year) Please enter valid data.
  
  Grade (for 2020-21 School Year) Please enter valid data.
  
  Was your child Baptized? Yes No
  
  Date and Location of Baptism
  
  Did your child receive First Reconciliation? Yes No
  
  Date and Location of First Reconciliation
  
  Did your child receive First Communion? Yes No
  
  Date and Location of First Communion
  
  Does your child have any special needs that we should be aware of?
  
  Child 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  School Name (for 2020-21 School Year) Please enter valid data.
  
  Grade (for 2020-21 School Year) Please enter valid data.
  
  Was your child Baptized? Yes No
  
  Date and Location of Baptism
  
  Did your child receive First Reconciliation? Yes No
  
  Date and Location of First Reconciliation
  
  Did your child receive First Communion? Yes No
  
  Date and Location of First Communion
  
  Does your child have any special needs that we should be aware of?
  
  Child 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  School Name (for 2020-21 School Year) Please enter valid data.
  
  Grade (for 2020-21 School Year) Please enter valid data.
  
  Was your child Baptized? Yes No
  
  Date and Location of Baptism
  
  Did your child receive First Reconciliation? Yes No
  
  Date and Location of First Reconciliation
  
  Did your child receive First Communion? Yes No
  
  Date and Location of First Communion
  
  Does your child have any special needs that we should be aware of?
  
  Child 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  School Name (for 2020-21 School Year) Please enter valid data.
  
  Grade (for 2020-21 School Year) Please enter valid data.
  
  Was your child Baptized? Yes No
  
  Date and Location of Baptism
  
  Did your child receive First Reconciliation? Yes No
  
  Date and Location of First Reconciliation
  
  Did your child receive First Communion? Yes No
  
  Date and Location of First Communion
  
  Does your child have any special needs that we should be aware of?
  
  Child 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  School Name (for 2020-21 School Year) Please enter valid data.
  
  Grade (for 2020-21 School Year) Please enter valid data.
  
  Was your child Baptized? Yes No
  
  Date and Location of Baptism
  
  Did your child receive First Reconciliation? Yes No
  
  Date and Location of First Reconciliation
  
  Did your child receive First Communion? Yes No
  
  Date and Location of First Communion
  
  Does your child have any special needs that we should be aware of?
  
  Child 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  School Name (for 2020-21 School Year) Please enter valid data.
  
  Grade (for 2020-21 School Year) Please enter valid data.
  
  Was your child Baptized? Yes No
  
  Date and Location of Baptism
  
  Did your child receive First Reconciliation? Yes No
  
  Date and Location of First Reconciliation
  
  Did your child receive First Communion? Yes No
  
  Date and Location of First Communion
  
  Does your child have any special needs that we should be aware of?
  
  Child 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  School Name (for 2020-21 School Year) Please enter valid data.
  
  Grade (for 2020-21 School Year) Please enter valid data.
  
  Was your child Baptized? Yes No
  
  Date and Location of Baptism
  
  Did your child receive First Reconciliation? Yes No
  
  Date and Location of First Reconciliation
  
  Did your child receive First Communion? Yes No
  
  Date and Location of First Communion
  
  Does your child have any special needs that we should be aware of?
  
  Child 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.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  School Name (for 2020-21 School Year) Please enter valid data.
  
  Grade (for 2020-21 School Year) Please enter valid data.
  
  Was your child Baptized? Yes No
  
  Date and Location of Baptism
  
  Did your child receive First Reconciliation? Yes No
  
  Date and Location of First Reconciliation
  
  Did your child receive First Communion? Yes No
  
  Date and Location of First Communion
  
  Does your child have any special needs that we should be aware of?
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Registration

Parent Information

Student Information