2021/22 St. John the Evangelist & Blessed Sacrament Religious Ed. Registration Form

Welcome! We are 'Back to Class" and looking forward to all sessions beginning the
week of September 12, 2021.
TOTALLY NEW THIS YEAR: 7TH & 8TH GRADES have moved to WEDNESDAY >
6-8 PM, with a brand new program & experience!
Registration includes all grades PK-12 & Confirmation. Thanks for registering early &
helping the planning process. Sorry, online tuition payments are not available at this
time, but will be accepted in the Religious Ed. office after August 15th -including credit
card payments. Tuition remains at the discounted rate of $50.00 per student.
Questions? Check the bulletin & website, or call the Religious Ed. office at 810-653-
4056. (Sessions begin the week of September 12, 2021.) See you soon -- God bless!

Click Submit Form to send this information to St. John the Evangelist Catholic Church.

*Required fields

Instructions
Choose most likely session your child will be attending.
		It can be changed later if necessary.
		(Add other students at end with button "ADD ANOTHER STUDENT")

Head of Household
Suffix
*First Name		*Last Name
*Middle Name		Nickname
*Relationship		*Maiden Name
*Gender	Female Male
*Marital Status

Spouse
Suffix
First Name		Last Name
Middle Name		Nickname
Relationship		Maiden Name
Gender	Female Male
Marital Status

Family Street Address
*Line 1
Line 2
*City
*State
*ZIP

Family Phone Numbers
*Primary		( ) - Unlisted
Other		( ) - Unlisted
Family Email Address
*Email		Unlisted
Fee Total = $0.00

Student 1
Suffix
*First Name		*Last Name
*Middle Name		Nickname
*Relationship
*Birth Date
*Gender	Female Male	*Grade/Degree
*Photo Perm.
*Sacraments
Class Choices
*Class 1
Student Remarks
*ALLERGIES, ETC.
*OK to PICK UP

Non-Parent Emergency Contact
		Suffix
*First Name		*Last Name
*Relationship
Phone Numbers
*Primary		( ) - Unlisted
Other		( ) - Unlisted
Email Address
Email

Click Submit Form to send this information to St. John the Evangelist Catholic Church.

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St. John the Evangelist Catholic Church

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