Religious Education Registration

Family Name REQUIRED Please fill out this field. Please enter valid data.

Main Contact Email REQUIRED

This is the email that submission and payment confirmation will go to.

Please fill out this field. Please enter an email address.

Mother's Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
Mother's Religion REQUIRED Please fill out this field. Please enter valid data.
Email REQUIRED Please fill out this field. Please enter an email address.
Mother's Home Phone Number Please enter a phone number.
Mother's Cell Phone Number Please enter a phone number.
Address REQUIRED Please fill out this field. 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.
Marital Status REQUIRED
Select One
Please fill out this field.

Father's Information

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Father's Religion REQUIRED Please fill out this field. Please enter valid data.
Father's Cell Phone Number Please enter a phone number.
Father's Email Please enter an email address.
Father's Address (if different from Mother's) Please enter valid data.
City Please enter valid data.

State

Zip Please enter a zip code.

Registration Information

With Whom Does the Child/Children Live? REQUIRED
Select One
Please fill out this field.
If you checked "Other" above, please list the guardian and their relationship to the child Please enter valid data.

Emergency Contact Information

Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
Emergency Contact Number REQUIRED Please fill out this field. Please enter a phone number.

Do you have any children currently attending a Catholic School? REQUIRED Please fill out this field.

If yes, please list the names and grades of each child as well as the name of the Catholic school they are attending.

A photograph or video of your child(ren) participating in a religious education, youth ministry or related event may be used on our website, on our bulletin board, or in a newspaper story. REQUIRED Please fill out this field.

Volunteers Needed!

A successful program cannot function without the help of many hands. Please consider sharing your gifts and talents with us.
Please check all volunteer areas of interest. Teacher Classroom Assistant Hall Monitor Photographer Office Help Hospitality Music (Vocals or Instruments)
Other Gifts/Talents you would like to share with our program: Please enter valid data.

Regular attendance at religious education classes in consecutive years is required. Unexcused absences may affect admittance into sacramental preparation programs.

Regular Mass attendance is also required and is considered part of the religious education program.

Multi-Student Family Discount -40 – 3 Students Registered -75 – 4 Students or more Registered

No one will be denied religious education due to the inability to pay.

Are you requesting a Payment Waiver

*If you are requesting a Payment Waiver, please select the "Pay Later" option below so that your form is submitted. Thank you!

Yes*

Optional Donation

Your donation helps cover the cost of texts, scholarships, & other expenses.

$ Please enter a positive decimal.

St. Rose of Lima

Northborough, MA

2020-2021 Religious Education Registration

Welcome!

How to Register:

Online Registration