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First Lights Registration

- Religious Education

first lights registration form

Welcome to our First Light Registration Form. The cost of the program is $25.00 per family (NOT per child) with an additional $25.00 if your child is a First Communion Candidate. We look forward to our upcoming Religious Education school year.

Link to First Lights 2020/2021 Remote Learning Instruction letter
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- How many children are you registering? REQUIRED Please fill out this field.
  
  Student 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street 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.
  
  Student Date of Birth REQUIRED
  mm/dd/yyyy
  Please fill out this field. Please enter a date.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field. Please enter an integer (number) from 0 to 6.
  
  Date of Baptism (if known) mm/dd/yyyy
  mm/dd/yyyy
  Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  Date of First Communion (if known) mm/dd/yyyy
  mm/dd/yyyy
  Please enter a date.
  
  Church of First Communion Please enter valid data.
  
  Allergies? Please enter valid data.
  
  Special Needs? Please enter valid data.
  
  Where did student attend Religious Ed last year? Please enter valid data.
  
  Student 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street 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.
  
  Student Date of Birth REQUIRED
  mm/dd/yyyy
  Please fill out this field. Please enter a date.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field. Please enter an integer (number) from 0 to 6.
  
  Date of Baptism (if known) mm/dd/yyyy
  mm/dd/yyyy
  Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  Date of First Communion (if known) mm/dd/yyyy
  mm/dd/yyyy
  Please enter a date.
  
  Church of First Communion Please enter valid data.
  
  Allergies? Please enter valid data.
  
  Special Needs? Please enter valid data.
  
  Where did student attend Religious Ed last year? Please enter valid data.
  
  Student 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street 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.
  
  Student Date of Birth REQUIRED
  mm/dd/yyyy
  Please fill out this field. Please enter a date.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field. Please enter an integer (number) from 0 to 6.
  
  Date of Baptism (if known) mm/dd/yyyy
  mm/dd/yyyy
  Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  Date of First Communion (if known) mm/dd/yyyy
  mm/dd/yyyy
  Please enter a date.
  
  Church of First Communion Please enter valid data.
  
  Allergies? Please enter valid data.
  
  Special Needs? Please enter valid data.
  
  Where did student attend Religious Ed last year? Please enter valid data.
- Flat Family Fee (not per student)25.0
- Is your child a First Communion Candidate?
  25 – Yes
  0 – No
- Parent/Guardian 1 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.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
- Parent/Guardian 2 Information
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Cell Phone Number Please enter a phone number.
  
  Email Please enter an email address.
Total:

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St.Joseph's Catholic Church

10 H. Putnam Rd. Ext. Charlton, MA

First Lights Registration

first lights registration form