RE (K-6) Registration

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

Primary Email REQUIRED Please fill out this field. Please enter an email address.

Primary 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.

Parishioner Status REQUIRED Please fill out this field.

Children Live With REQUIRED Please fill out this field.

PARENT/GUARDIAN

Father's Contact Information

First Name Please enter valid data.

Last Name Please enter valid data.
Email Please enter an email address.
Cell Phone Maximum 20 characters
Used for limited contact by the director of RE and your child's teacher
Please enter a phone number.
Check if Address is the same as above Same as above
Father's Address Please enter valid data.
City Please enter valid data.

State

Zip Please enter a zip code.
Occupation Please enter valid data.
Religion Please enter valid data.
Talents to Share Please enter valid data.

Mother's Contact Information

First Name Please enter valid data.

Last Name Please enter valid data.
Email Please enter an email address.
Cell Phone Maximum 20 characters
Used for limited contact by the director of RE and your child's teacher
Please enter a phone number.
Check if Address is the same as above Same as above
Mother's Address Please enter valid data.
City Please enter valid data.

State

Zip Please enter a zip code.
Occupation Please enter valid data.
Religion Please enter valid data.
Talents to Share Please enter valid data.

EMERGENCY CONTACT 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.
Best Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Relationship to child(ren) or family REQUIRED Please fill out this field. Please enter valid data.

MEDICAL RELEASE and EMERGENCY CONTACT
If parent cannot be reached 9/1/22 - 5/31/23
In the event that I, as the undersigned parent/guardian of this child/ren cannot be contacted, and in the judgement of the director of Religious Education, Pastor or teacher deems necessary for my child/ren to receive immediate medical intervention, I hereby request and authorize the supervising personnel to obtain services necessary to assist my child/ren. I agree to assume financial responsibility for any diagnosis/treatment and medication.

I Agree Please select this field.

Photo/Video/Classroom Work Permission: Name of students will not be released REQUIRED YES, my child/ren's photos, video,and classroom work MAY be displayed in any format - website, parish bulletins, newsletters, posters, etc. NO, my child/ren's photos, video and classroom work MAY NOT be displayed in any format - website, parish bulletin, newsletters, posters, etc. Please fill out this field.

As the parent/legal guardian of the child(ren) named above I agree to the Photo/Video/Classroom Work Permission response chosen.

I Agree Please select this field.

TUITION:
1 Student - $275
2 Students - $375
3+ Students - $425
FEES:
1st Communion - $60

To complete your payment go to www.stjosephdg.org/repayment

If other payment arrangements are needed please contact Jacqueline Lackaff (K-6) 630-964-0216 x1106

God is Love

Religious Ed at St. Joseph's

Contact

Resources

Links

Documents

Pass It On!

If you have students in our Confirmation program, Click Here to Register.
For K-6 Religious Ed students, complete the form below.

2022-23 K-6 RE Registration

Religious Ed at St. Joseph's

If you have students in our Confirmation program, Click Here to Register. For K-6 Religious Ed students, complete the form below.

If you have students in our Confirmation program, Click Here to Register.
For K-6 Religious Ed students, complete the form below.