CCD Registration

Please complete the following registration form. A copy of the form will be sent to the e-mail address listed for the mother of the family.

This year, St. Alphonsus will also offer classes for high school students. All high school students–grades nine through twelve–will be enrolled in a single “advanced formation” class.

Family’s last name:

Street Address:

City: Zip Code:

Home phone:

Parish:

Mother’s name:

Mother’s Email address:

Primary Email account: Yes No, use father’s

Mother’s cell phone:

Mother’s religion:

Mother’s maiden name:

Father’s name:

Father’s Email address:

Father’s cell phone number:

Father’s religion:

First Child:

Name:

Grade:

School:

Birth date:

Baptism date:

Parish where Baptized:

Second Child:

Name:

Grade:

School:

Birth date:

Baptism date:

Parish where Baptized:

Third Child:

Name:

Grade:

School:

Birth date:

Baptism date:

Parish where Baptized:

Fourth Child:

Name:

Grade:

School:

Birth date:

Baptism date:

Parish where Baptized:

Fifth Child:

Name:

Grade:

School:

Birth date:

Baptism date:

Parish where Baptized:

Registration Fees ($25 per child):

If necessary, please write a note to the CCD program manager listing any special needs or instructions:

To prevent Spambots from registering for CCD classes, please enter the letters that you see:

Enter: