Religious Education Program Form Family Last Name Home Phone: Cell Phone: Whose? Father's Name Mother's Name Mailing Address: E-MAIL Address: I do not have e-mail Child 1 Child 1 Grade Last Name: First: Middle: Date of Birth: Religious Ed Last Year? if yes, where? Baptism Date: Name/location of Church: Received: First Reconciliation YN First Communion: YN Confirmation: YN Child 2 Child 2 Grade Last Name: First: Middle: Date of Birth: Religious Ed Last Year? if yes, where? Baptism Date: Name/location of Church: Received: First Reconciliation YN First Communion: YN Confirmation: YN Child 3 Child 3 Grade Last Name: First: Middle: Date of Birth: Religious Ed Last Year? if yes, where? Baptism Date: Name/location of Church: Received: First Reconciliation YN First Communion: YN Confirmation: YN Child 4 Child 4 Grade Last Name: First: Middle: Date of Birth: Religious Ed Last Year? if yes, where? Baptism Date: Name/location of Church: Received: First Reconciliation YN First Communion: YN Confirmation: YN