| St Joseph Parish, Colbert

This form is to register your third child in a religious education program. Select and add additional children at your left.

Program Registration PreK to 6th Grade Middle School (Grade 7-8) High School Youth Group (Grade 9-12)

First Name Please enter valid data.

Last Name Please enter valid data.

Birthdate Please enter a date.

Gender Male Female

Grade Please enter valid data.

School Please enter valid data.

List all allergies REQUIRED Please fill out this field. Please enter valid data.

Medical Conditions (list none, if none) REQUIRED Please fill out this field. Please enter valid data.

Sacrements Recieved REQUIRED Baptism First Eucharist Confirmation Penance None Please fill out this field.

Payment Options REQUIRED We will pay in the office with check, cash, or credit card We will pay online with PayPal Please fill out this field.

St. Joseph