Cathedral of the Assumption | 2025-2026 Cathedral of the Assumption Children's Religious Education Program Registration

Child's/Youth's Name

First Name

Middle Name

Last Name

Nickname

Cell #

Able to receive and send text messages?

Yes

No

E-Mail *

Mailing Address *

City, State, Zip

Date of Birth

Current Age

Place of Birth (City, State)

Grade in School

School

Mother Name *

Religion

Mother Cell

Mother Email

Father Name

Religion

Father Cell

Father Email

SACRAMENTAL INFORMATION

My child is in need of a sacrament.

Sacrament Received

Baptism

Date and Name of Church

Reconciliation

Date and Name of Church

Eucharist

Date and Name of Church

Confirmation

Date and Name of Church

Please email copies of sacramental certificates to formation@cathedraloftheassumption.org

Medical/Allergy Alerts

Learning Differences

Siblings

Interests

How do you celebrate being Catholic at home? (Ethnic, Cultural, Traditions)

The Cathedral of the Assumption may use my child's likeness for Cathedral purposes, the website, newsletter, Facebook and/or other materials in the Archdiocese.

I authorize the Cathedral to use my child's name with their picture.

Yes

No

I understand as the primary teacher of Faith for my child that I may be asked to participate in Family Formation, volunteer in my child's classroom and attend events outside of regular Mass and Formation time (especially for Sacrament Formation). I also understand that attending Mass is critical for my child to be able to get the most out of Formation time. In order to do that regular attendance is necessary, and for safety reasons, dropping off and picking up my child from their Catechist is required and my responsibility.

Parent's Signature *

Print Name

EMERGENCY INFORMATION

Emergency Contact Name

Cell #

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