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Student RE Forms

- Formation

2021-2022 Religious ed student forms

The below form covers Medical & Emergency Info as well as authorizations for Pick-Up & Release from class.

This form is mandatory for all children enrolled in St. Peter's Religious Ed.

Please note that this form is only for students who are already enrolled in the program. This is NOT a registration form. Registration has ended for the 2021-2022 school year. Please check back in May 2022 for updates on next year's program.
Student forms
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- Medical & Emergency Information
- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Cell Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Father's Name REQUIRED Please fill out this field. Please enter valid data.
- Father's Cell Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Number of Children Registered REQUIRED Please fill out this field.
  
  Child 1
  
  Child Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Illnesses, Conditions, etc. REQUIRED Please fill out this field. Please enter valid data.
  
  Learning Challenges & Accomodations REQUIRED Please fill out this field. Please enter valid data.
  
  Child 2
  
  Child Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Illnesses, Conditions, etc. REQUIRED Please fill out this field. Please enter valid data.
  
  Learning Challenges & Accomodations REQUIRED Please fill out this field. Please enter valid data.
  
  Child 3
  
  Child Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Illnesses, Conditions, etc. REQUIRED Please fill out this field. Please enter valid data.
  
  Learning Challenges & Accomodations REQUIRED Please fill out this field. Please enter valid data.
  
  Child 4
  
  Child Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Illnesses, Conditions, etc. REQUIRED Please fill out this field. Please enter valid data.
  
  Learning Challenges & Accomodations REQUIRED Please fill out this field. Please enter valid data.
  
  Child 5
  
  Child Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Illnesses, Conditions, etc. REQUIRED Please fill out this field. Please enter valid data.
  
  Learning Challenges & Accomodations REQUIRED Please fill out this field. Please enter valid data.
  
  Child 6
  
  Child Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Illnesses, Conditions, etc. REQUIRED Please fill out this field. Please enter valid data.
  
  Learning Challenges & Accomodations REQUIRED Please fill out this field. Please enter valid data.
  
  Child 7
  
  Child Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Illnesses, Conditions, etc. REQUIRED Please fill out this field. Please enter valid data.
  
  Learning Challenges & Accomodations REQUIRED Please fill out this field. Please enter valid data.
  
  Child 8
  
  Child Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Illnesses, Conditions, etc. REQUIRED Please fill out this field. Please enter valid data.
  
  Learning Challenges & Accomodations REQUIRED Please fill out this field. Please enter valid data.
  
  Child 9
  
  Child Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Illnesses, Conditions, etc. REQUIRED Please fill out this field. Please enter valid data.
  
  Learning Challenges & Accomodations REQUIRED Please fill out this field. Please enter valid data.
  
  Child 10
  
  Child Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Illnesses, Conditions, etc. REQUIRED Please fill out this field. Please enter valid data.
  
  Learning Challenges & Accomodations REQUIRED Please fill out this field. Please enter valid data.
  
  Child 11
  
  Child Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Illnesses, Conditions, etc. REQUIRED Please fill out this field. Please enter valid data.
  
  Learning Challenges & Accomodations REQUIRED Please fill out this field. Please enter valid data.
  
  Child 12
  
  Child Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Illnesses, Conditions, etc. REQUIRED Please fill out this field. Please enter valid data.
  
  Learning Challenges & Accomodations REQUIRED Please fill out this field. Please enter valid data.
  
  Child 13
  
  Child Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Illnesses, Conditions, etc. REQUIRED Please fill out this field. Please enter valid data.
  
  Learning Challenges & Accomodations REQUIRED Please fill out this field. Please enter valid data.
  
  Child 14
  
  Child Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Illnesses, Conditions, etc. REQUIRED Please fill out this field. Please enter valid data.
  
  Learning Challenges & Accomodations REQUIRED Please fill out this field. Please enter valid data.
  
  Child 15
  
  Child Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Illnesses, Conditions, etc. REQUIRED Please fill out this field. Please enter valid data.
  
  Learning Challenges & Accomodations REQUIRED Please fill out this field. Please enter valid data.
  
  Child 16
  
  Child Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Illnesses, Conditions, etc. REQUIRED Please fill out this field. Please enter valid data.
  
  Learning Challenges & Accomodations REQUIRED Please fill out this field. Please enter valid data.
  
  Child 17
  
  Child Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Illnesses, Conditions, etc. REQUIRED Please fill out this field. Please enter valid data.
  
  Learning Challenges & Accomodations REQUIRED Please fill out this field. Please enter valid data.
  
  Child 18
  
  Child Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Illnesses, Conditions, etc. REQUIRED Please fill out this field. Please enter valid data.
  
  Learning Challenges & Accomodations REQUIRED Please fill out this field. Please enter valid data.
  
  Child 19
  
  Child Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Illnesses, Conditions, etc. REQUIRED Please fill out this field. Please enter valid data.
  
  Learning Challenges & Accomodations REQUIRED Please fill out this field. Please enter valid data.
  
  Child 20
  
  Child Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  Allergies, Illnesses, Conditions, etc. REQUIRED Please fill out this field. Please enter valid data.
  
  Learning Challenges & Accomodations REQUIRED Please fill out this field. Please enter valid data.
- Student Pick-Up & Release
  
  Students in First Communion Prep and the Intermediate Class, will only be released directly to an approved parent or delegate listed below:
  
  The following individuals are authorized to pick-up my child from Religious Ed. (Must include first & last name as well as relationship to child) REQUIRED Please fill out this field.
  
  Students in Confirmation Prep and Post Confirmation classes will be released directly from class and will meet their rides outside.
- Parent or Guardian Signature REQUIRED Please fill out this field. Please enter valid data.
- By signing my electronic signature and submitting this form, I attest that all information provided is complete and accurate; I authorize my child to be released from class following the guidelines outlined above; I confirm that I have provided accurate contact information on all registration forms; and acknowledge that in the event my child faces a medical emergency while at Religious Ed, and a parent or guardian is unable to be reached, the personnel at St. Peter's Catholic Church are authorized to seek appropriate and necessary medical attention for my child.
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ST. PETER's CHurCh

Volo, Illinois

Student RE Forms

2021-2022 Religious ed student forms

Student forms