Religious Education Registration

Number of Students Registering Please fill out this field.
Student 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade for FALL 2025
- Type of Learning REQUIRED Please fill out this field.
- Have they been Baptized? REQUIRED Please fill out this field. Please enter valid data.
- Have they received First Reconciliation/ First Eucharist? REQUIRED Please fill out this field. Please enter valid data.
- Please tell us where they received these Sacraments. And if they have not, do you plan to have them receive these Sacraments? REQUIRED Please fill out this field. Please enter valid data.
- Registered Parishioner of St. Joseph the Worker? REQUIRED Yes No Please fill out this field.
- Allergies or Medical Needs? REQUIRED Please fill out this field.
- T-shirt Size (if you want a shirt for this child-$10) Please enter valid data.
Student 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade for FALL 2025
- Type of Learning REQUIRED Please fill out this field.
- Have they been Baptized? REQUIRED Please fill out this field. Please enter valid data.
- Have they received First Reconciliation/ First Eucharist? REQUIRED Please fill out this field. Please enter valid data.
- Please tell us where they received these Sacraments. And if they have not, do you plan to have them receive these Sacraments? REQUIRED Please fill out this field. Please enter valid data.
- Registered Parishioner of St. Joseph the Worker? REQUIRED Yes No Please fill out this field.
- Allergies or Medical Needs? REQUIRED Please fill out this field.
- T-shirt Size (if you want a shirt for this child-$10) Please enter valid data.
Student 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade for FALL 2025
- Type of Learning REQUIRED Please fill out this field.
- Have they been Baptized? REQUIRED Please fill out this field. Please enter valid data.
- Have they received First Reconciliation/ First Eucharist? REQUIRED Please fill out this field. Please enter valid data.
- Please tell us where they received these Sacraments. And if they have not, do you plan to have them receive these Sacraments? REQUIRED Please fill out this field. Please enter valid data.
- Registered Parishioner of St. Joseph the Worker? REQUIRED Yes No Please fill out this field.
- Allergies or Medical Needs? REQUIRED Please fill out this field.
- T-shirt Size (if you want a shirt for this child-$10) Please enter valid data.
Student 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade for FALL 2025
- Type of Learning REQUIRED Please fill out this field.
- Have they been Baptized? REQUIRED Please fill out this field. Please enter valid data.
- Have they received First Reconciliation/ First Eucharist? REQUIRED Please fill out this field. Please enter valid data.
- Please tell us where they received these Sacraments. And if they have not, do you plan to have them receive these Sacraments? REQUIRED Please fill out this field. Please enter valid data.
- Registered Parishioner of St. Joseph the Worker? REQUIRED Yes No Please fill out this field.
- Allergies or Medical Needs? REQUIRED Please fill out this field.
- T-shirt Size (if you want a shirt for this child-$10) Please enter valid data.
Student 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade for FALL 2025
- Type of Learning REQUIRED Please fill out this field.
- Have they been Baptized? REQUIRED Please fill out this field. Please enter valid data.
- Have they received First Reconciliation/ First Eucharist? REQUIRED Please fill out this field. Please enter valid data.
- Please tell us where they received these Sacraments. And if they have not, do you plan to have them receive these Sacraments? REQUIRED Please fill out this field. Please enter valid data.
- Registered Parishioner of St. Joseph the Worker? REQUIRED Yes No Please fill out this field.
- Allergies or Medical Needs? REQUIRED Please fill out this field.
- T-shirt Size (if you want a shirt for this child-$10) Please enter valid data.
Student 6
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade for FALL 2025
- Type of Learning REQUIRED Please fill out this field.
- Have they been Baptized? REQUIRED Please fill out this field. Please enter valid data.
- Have they received First Reconciliation/ First Eucharist? REQUIRED Please fill out this field. Please enter valid data.
- Please tell us where they received these Sacraments. And if they have not, do you plan to have them receive these Sacraments? REQUIRED Please fill out this field. Please enter valid data.
- Registered Parishioner of St. Joseph the Worker? REQUIRED Yes No Please fill out this field.
- Allergies or Medical Needs? REQUIRED Please fill out this field.
- T-shirt Size (if you want a shirt for this child-$10) Please enter valid data.
Student 7
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Grade for FALL 2025
- Type of Learning REQUIRED Please fill out this field.
- Have they been Baptized? REQUIRED Please fill out this field. Please enter valid data.
- Have they received First Reconciliation/ First Eucharist? REQUIRED Please fill out this field. Please enter valid data.
- Please tell us where they received these Sacraments. And if they have not, do you plan to have them receive these Sacraments? REQUIRED Please fill out this field. Please enter valid data.
- Registered Parishioner of St. Joseph the Worker? REQUIRED Yes No Please fill out this field.
- Allergies or Medical Needs? REQUIRED Please fill out this field.
- T-shirt Size (if you want a shirt for this child-$10) Please enter valid data.

Mother

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Father

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Mom's Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Dad's Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Emergency Contact

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Relationship Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

People allowed to pick up your child (Name and Phone Number) REQUIRED Please fill out this field.

Religious Education Fees

Out of Parish Registrations REQUIRED Please fill out this field.

Homeschool Fee25.0

Homeschool Fee (leave as zero if you are not doing homeschool) Please enter an integer (number).

T-shirts10.0

Number of T-shirts for all students Please enter an integer (number).

St Joseph the Worker

Pierre Part, LA

Religious Education Registration