Religious Education form 2019-2020

Today's Date REQUIRED Please fill out this field. Please enter a date.

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.
Work/Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
Catholic? REQUIRED yes no Please fill out this field.

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.
Work/Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
Catholic? REQUIRED yes no Please fill out this field.

Custodial Parent (if different from above) Please enter valid data.

Home 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.

Home Phone REQUIRED Please fill out this field. Please enter a phone number.

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

Emergency Contact REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter valid data.

Note: If any of your children were baptized outside of this community and you have not already supplied us with a copy of each child's baptismal record, you will need to supply a copy for our files.

The Catholic Center

Athens, GA

Religious Education form 2019-2020