Family Registration (page 2) Family last name
Mother’s Name
Cell #
Last
Name / First Name
Maiden Name Work #
Religion
Father’s Name Cell #
Last Name/First Name
Religion Work #
Are Parents: Married __ Divorced ______ Other
Legal Guardian, if different than above:
NAME HOME #
ADDRESS
Street
Town
State
Zip
RELATIONSHIP WORK #
_______________________________________________________________________________
The following are requirements per family:
Parents accept the responsibility for your child’s/children’s regular attendance at Religious Education Class, Liturgy on Sundays and on Holy Days of Obligation. I have read and understood the class attendance policy in the parent handbook.
I have read the above statements and will adhere to the requirements.
License Plate Number
PARENT/GUARDIAN SIGNATURE _____________________________________ DATE