St. Joseph of Arimathea Church

Complete form to register child(ren) for Religious Education. Ages 6-18.

* indicates required

Email Address *

First Name *

Last Name *

Phone

( ) -

Address

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Child's Name

Date of Birth/School Grade

Child's Name (#2)

Date of Birth/School Grade

Child's Name (#3)

Date of Birth/School Grade

Preferred format

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