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Religious Education Registration and Payment

- Faith Formation
  - Religious Education
    
    Religious Education Events
    Religious Education Registration and Payment
    
    First Communion
    Catechesis of the Good Shepherd
    Confirmation
    RCIA Adapted for Children and Teens
  - RCIA

Welcome to the Religious Education Program at St. Joseph’s.
- Registrations are on a first-come first-serve basis.
- Brand new families to our program must register in person because we would like to meet you and tell you about our program. Please make an appointment with Sr. Philomena and bring Baptismal certificates upon registration.
- The personal and credit card information you provide will be kept private, secure and protected.
- Deadline for payments: August 1, 2019. If you choose to pay online, please use the field at the bottom of the form below.
- Include names of those people who can pick up your child from this program.
- 7th and 8^thgraders are to be registered on this form for the Confirmation program. For more information on this program, please click the link below.
  http://www.stjosephnewpaltz.org/confirmation
- Students of Pre-K through 2nd grade are part of the Catechesis of the Good Shepherd. For more information, please click the link below.
  http://www.stjosephnewpaltz.org/catechesis-of-the-good-shepherd-1
- If you have any questions or concerns, please contact Sr. Philomena at 845-255-0237 (ext. 105) or 16religiouseducation@gmail.com.
The maximum number of form submissions has been reached. This form is currently not available.
- Parent/Guardian Information
  
  Main Contact Email REQUIRED Please fill out this field. Please enter an email address.
  
  Children live with Both Parents Parent and Stepparent Mother Only Father Only Other*
  
  *If other, please list here Please enter valid data.
- Father's Information or Legal Guardian
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address 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.
  
  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.
- Mother's Information
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Address Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Phone Number Please enter a phone number.
  
  Email Please enter an email address.
- Who can pick up your child?
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Cellphone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Cellphone Number REQUIRED Please fill out this field. Please enter valid data.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact if Parents cannot be reached (local contact only)
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address 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.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Relationship Please enter valid data.
- Doctor for emergency Please enter valid data.
- Doctor's Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- In case of accident or illness, I request that the representative of the parish Catechetical program contact me. IF I am unable to be reached, I hereby authoirze the representative to call the physician indicated and to follow the physician's instructions. If it is impossible to contat this physician, the representative of the parish Catechectical program may make whatever arrangements deemed necessary. I agree to assume the finaical responsibility for any diagnosis, treatment and /or medication deemed necessary.
- Electronic Signature
  By typing your name and checking "I Agree", you are submitting an electronic signature
  Please enter valid data.
- I Agree Please select this field.
- I give consent for taking/using my child's photograph for either the Parish website or the Parish FaceBook page only. If you agree, please check box below.
- I Agree Please select this field.
- School District Please enter valid data.
- Number of Children Registering REQUIRED Please fill out this field.
  
  Child 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.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date and Church Please enter valid data.
  
  Special medication conditions/learning difficulties Please enter valid data.
  
  Procedures to be followed if above condition presents an emergency Please enter valid data.
  
  Choose Day and Time PK/K - Sunday 9:30 am- 10:30 am 1st Grade - Sunday 10:45 am - 12:15 pm 1st Grade - Tuesday 6:00-7:30 pm 1st Grade - Wednesday 6:00-7:30 pm 1st Grade - Thursday 4:30-6:00 pm 2nd Grade - Sunday 10:45 am - 12:15 pm 2nd Grade - Tuesday 6:00-7:30 pm 2nd Grade - Wednesday 6:00-7:30 pm 2nd Grade - Thursday 4:30-6:00 pm 3rd-6th grade - Sunday 10:45 am-12:15 pm 3rd-6th grade - Tuesday 6:00-7:30 pm 3rd-6th grade - Wednesday 6:00-7:30 pm 7th and 8th Grades- Confirmation program- Various dates and times- see Confirmation page***
  
  ***7th and 8th grade parents, please see our Confirmation page for more information.
  
  Child 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.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date and Church Please enter valid data.
  
  Special medication conditions/learning difficulties Please enter valid data.
  
  Procedures to be followed if above condition presents an emergency Please enter valid data.
  
  Choose Day and Time PK/K - Sunday 9:30 am- 10:30 am 1st Grade - Sunday 10:45 am - 12:15 pm 1st Grade - Tuesday 6:00-7:30 pm 1st Grade - Wednesday 6:00-7:30 pm 1st Grade - Thursday 4:30-6:00 pm 2nd Grade - Sunday 10:45 am - 12:15 pm 2nd Grade - Tuesday 6:00-7:30 pm 2nd Grade - Wednesday 6:00-7:30 pm 2nd Grade - Thursday 4:30-6:00 pm 3rd-6th grade - Sunday 10:45 am-12:15 pm 3rd-6th grade - Tuesday 6:00-7:30 pm 3rd-6th grade - Wednesday 6:00-7:30 pm 7th and 8th Grades- Confirmation program- Various dates and times- see Confirmation page***
  
  ***7th and 8th grade parents, please see our Confirmation page for more information.
  
  Child 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.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date and Church Please enter valid data.
  
  Special medication conditions/learning difficulties Please enter valid data.
  
  Procedures to be followed if above condition presents an emergency Please enter valid data.
  
  Choose Day and Time PK/K - Sunday 9:30 am- 10:30 am 1st Grade - Sunday 10:45 am - 12:15 pm 1st Grade - Tuesday 6:00-7:30 pm 1st Grade - Wednesday 6:00-7:30 pm 1st Grade - Thursday 4:30-6:00 pm 2nd Grade - Sunday 10:45 am - 12:15 pm 2nd Grade - Tuesday 6:00-7:30 pm 2nd Grade - Wednesday 6:00-7:30 pm 2nd Grade - Thursday 4:30-6:00 pm 3rd-6th grade - Sunday 10:45 am-12:15 pm 3rd-6th grade - Tuesday 6:00-7:30 pm 3rd-6th grade - Wednesday 6:00-7:30 pm 7th and 8th Grades- Confirmation program- Various dates and times- see Confirmation page***
  
  ***7th and 8th grade parents, please see our Confirmation page for more information.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date and Church Please enter valid data.
  
  Special medication conditions/learning difficulties Please enter valid data.
  
  Procedures to be followed if above condition presents an emergency Please enter valid data.
  
  Choose Day and Time PK/K - Sunday 9:30 am- 10:30 am 1st Grade - Sunday 10:45 am - 12:15 pm 1st Grade - Tuesday 6:00-7:30 pm 1st Grade - Wednesday 6:00-7:30 pm 1st Grade - Thursday 4:30-6:00 pm 2nd Grade - Sunday 10:45 am - 12:15 pm 2nd Grade - Tuesday 6:00-7:30 pm 2nd Grade - Wednesday 6:00-7:30 pm 2nd Grade - Thursday 4:30-6:00 pm 3rd-6th grade - Sunday 10:45 am-12:15 pm 3rd-6th grade - Tuesday 6:00-7:30 pm 3rd-6th grade - Wednesday 6:00-7:30 pm 7th and 8th Grades- Confirmation program- Various dates and times- see Confirmation page***
  
  ***7th and 8th grade parents, please see our Confirmation page for more information.
  
  Child 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date and Church Please enter valid data.
  
  Special medication conditions/learning difficulties Please enter valid data.
  
  Procedures to be followed if above condition presents an emergency Please enter valid data.
  
  Choose Day and Time PK/K - Sunday 9:30 am- 10:30 am 1st Grade - Sunday 10:45 am - 12:15 pm 1st Grade - Tuesday 6:00-7:30 pm 1st Grade - Wednesday 6:00-7:30 pm 1st Grade - Thursday 4:30-6:00 pm 2nd Grade - Sunday 10:45 am - 12:15 pm 2nd Grade - Tuesday 6:00-7:30 pm 2nd Grade - Wednesday 6:00-7:30 pm 2nd Grade - Thursday 4:30-6:00 pm 3rd-6th grade - Sunday 10:45 am-12:15 pm 3rd-6th grade - Tuesday 6:00-7:30 pm 3rd-6th grade - Wednesday 6:00-7:30 pm 7th and 8th Grades- Confirmation program- Various dates and times- see Confirmation page***
  
  ***7th and 8th grade parents, please see our Confirmation page for more information.
  
  Child 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Male Female Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Place of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  Place of Baptism REQUIRED Please fill out this field. Please enter valid data.
  
  First Communion Date and Church Please enter valid data.
  
  Special medication conditions/learning difficulties Please enter valid data.
  
  Procedures to be followed if above condition presents an emergency Please enter valid data.
  
  Choose Day and Time PK/K - Sunday 9:30 am- 10:30 am 1st Grade - Sunday 10:45 am - 12:15 pm 1st Grade - Tuesday 6:00-7:30 pm 1st Grade - Wednesday 6:00-7:30 pm 1st Grade - Thursday 4:30-6:00 pm 2nd Grade - Sunday 10:45 am - 12:15 pm 2nd Grade - Tuesday 6:00-7:30 pm 2nd Grade - Wednesday 6:00-7:30 pm 2nd Grade - Thursday 4:30-6:00 pm 3rd-6th grade - Sunday 10:45 am-12:15 pm 3rd-6th grade - Tuesday 6:00-7:30 pm 3rd-6th grade - Wednesday 6:00-7:30 pm 7th and 8th Grades- Confirmation program- Various dates and times- see Confirmation page***
  
  ***7th and 8th grade parents, please see our Confirmation page for more information.
- Paying by Cash or Check? Yes No, paying online
- Registrations after September 1, 2018 will incur a late fee of $50.00.
- Number of children registered REQUIRED Please fill out this field.
Total: $

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St. JOseph Church

New Paltz, NY

Religious Education Registration and Payment