Our Lady Queen of Martyrs Religious Education Registration Form

WELCOME TO OUR LADY QUEEN OF MARTYRS RELIGIOUS EDUCATION
Visit us at www.ourladyqueenofmartyrs.org for more information about our parish.
Return to the Religious Education page.

Complete the form below and only then Submit. Please be certain to fill out all fields marked with an asterisk (*).

*Required fields

*Family Options	New Family		Update Existing Family
			- ID/Env
INSTRUCTIONS AND CONSENT


		Active participation from parents/guardians is encouraged. Practice our faith with your child; attend Mass weekly; review religious lessons and sign homework weekly; pray daily with your child; and attend scheduled parent meetings.

		In case of a medical emergency. We will make every attempt to contact parents/guardians. If we cannot reach anyone and emergency treatment is necessary, our staff will take appropriate action for the situation. (Please fill in the Health Problems or Remarks sections of the form to alert us to any medical conditions, e.g., asthma, food allergies, etc.).
		Permissions. Parents/guardians give the parish permission to place a photo of their child in our church bulletin if photographed at a parish function.






		NOTE: By submitting a completed form, you consent to the terms listed above.



Head of Household
Title		Suffix
*First Name		*Last Name
Middle Name		Nickname
*Relationship		Maiden Name
Ethnicity		Birth Date
*Gender	Female Male	Grade/Degree
Language		Marital Status

Spouse
Title		Suffix
First Name		Last Name
Middle Name		Nickname
Relationship		Maiden Name
Ethnicity		Birth Date
Gender	Female Male	Grade/Degree
Language		Marital Status

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

Family Phone Numbers
*Primary		( ) - Unlisted
Other		( ) - Unlisted
Family Email Address
*Email		Unlisted
		Send Email Instead of Mail When Possible
Fee Total = $0.00
Family Remarks
Remarks

Student 1		Type
Title		Suffix
*First Name		*Last Name
Middle Name		Nickname
*Relationship		Maiden Name
Ethnicity		*Birth Date
*Gender	Female Male	*Grade/Degree
Language		Marital Status
Sacraments
Baptism		Date	Place
Penance		Date	Place
First Comm		Date	Place
Student Remarks
General Remarks
Health Problems
Misc. Information

Student Contact 1
Title		Suffix
*First Name		*Last Name
*Relationship		Marital Status
Address
Line 1
Line 2
City
State
ZIP
Phone Numbers
*Primary		( ) - Unlisted
Other		( ) - Unlisted
Email Address
*Email
	Send Email Instead of Mail When Possible

Click Submit Form to send this information to Our Lady Queen of Martyrs. You will immediately be taken to Parish Giving for payment of the Religious Ed registration fee.

↻

*Enter the characters shown in the image

Our Lady Queen Of Martyrs

This form won\'t display correctly without the JavaScript file. Please check with your church.

Our Lady Queen Of Martyrs

Modal Header

Our Lady Queen Of Martyrs