Our Lady of Lourdes RC Church - Religious Education Online Registration Form

If you prefer to register in person or have the registration sent to your home, please email This email address is being protected from spambots. You need JavaScript enabled to view it.

Family Information

Are You a Parishioner? Yes No

Father's Name

Father's Cell

Father's Email

Mother's Name

Mother's Cell

Mother's Email

Legal Guardian if different

Guardian's Cell (if necessary)

Guardian Email

Home Address

City/State/Zip

Child Resides with: Both Parents Mother Father Other

If "Other" with whom?

Student(s) Information

Additional Information

Allergies or other medical conditions

Emergency Contact Name

Phone

Relationship to child

Please check the Security box

Thank you for registering your child(ren) in our Religious Education Program. Please proceed to our Parent/Guardian Information Page. Here you find important information and guidelines to which you must agree. You will also be able to consent to allow the use of photos and/or videos of your child by the Diocese and/or Our Lady of Lourdes Parish.

Registration Fee
1 Child - 25.00
2 Children - $40.00
3 or more Children - $50

Payment can be made by mail, in person during normal business hours of 9am - 2pm, Monday-Friday or in the Sunday collection basket in an envelope marked “RELIGIOUS ED”.

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