Religious Education Registration Form English

ST. PIUS X CATHOLIC CHURCH OF JAMUL WWW.STPIUSXJAMUL.COM (619) 669-0085

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ST. PIUS X RELIGIOUS EDUCATION
REGISTRATION FORM

REGISTRATION FORM
Please fill out the information below. If you prefer, you may DOWNLOAD THE FORM and submit it to the Catechetical Ministry Office with your payment.

* Indicates required field

Parents/Guardian Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Cell Phone Number *

Work Phone Number *

Email *

Emergency Contact Person *

First

Last

Relationship to Student *

Emergency Contact Number *

Sacramental History: For each child below, please select the corresponding button(s) to indicate which Sacrament your child has received. Please provide a copy of your Child(ren)'s Birth AND Sacramental Certificates to the Office.

Child(ren) information:

Child One *

First

Last

Baptism *

Yes No

Reconciliation *

Yes No

Eucharist *

Yes No

Confirmation *

Yes No

Date of Birth *

Grade *

Gender *

Male Female

Was your child baptized at St. Pius X Jamul? *

Yes No

If No, please provide the name of the church, city and state where your child was baptized and provide baptismal certificate to the office. *

Is this a Catholic Church? *

Yes No

Child Two *

First

Last

Baptism *

Yes No

Reconciliation *

Yes No

Eucharist *

Yes No

Confirmation *

Yes No

Date of Birth *

Grade *

Gender *

Male Female

Was the child baptized at St. Pius X Jamul? *

Yes No

If No, please provide the name of the church, city and state where your child was baptized and provide baptismal certificate to the office. *

Is this a Catholic Church? *

Yes No

Child Three *

First

Last

Baptism *

Yes No

Reconciliation *

Yes No

Eucharist *

Yes No

Confirmation *

Yes No

Date of Birth *

Grade *

Gender *

Male Female

Was the child baptized at St. Pius X, Jamul? *

Yes No

If No, please provide the name of the church, city and state where your child was baptized and provide baptismal certificate to the office. *

Is this a Catholic Church? *

Yes No

Child Four *

First

Last

Baptism *

Yes No

Reconciliation *

Yes No

Eucharist *

Yes No

Confirmation *

Yes No

Date of Birth *

Grade *

Gender *

Male Female

Was the child baptized at St. Pius X, Jamul? *

Yes No

If No, please provide the name of the church, city and state where your child was baptized and provide baptismal certificate to the office. *

Is this a Catholic Church? *

Yes No

Child Five *

First

Last

Baptism *

Yes No

Reconciliation *

Yes No

Eucharist *

Yes No

Confirmation *

Yes No

Date of Birth *

Grade *

Gender *

Male Female

Was the child baptized at St. Pius X, Jamul? *

Yes No

If No, please provide the name of the church, city and state where your child was baptized and provide baptismal certificate to the office. *

Is this a Catholic Church? *

Yes No

Does your Child(ren) have any special health needs? Please explain: *

**When completed filling out the form, click on the Submit button below. After clicking Submit you will be directed to our secure site to pay online where you will scroll down until you see Registration -Faith Formation to make a one time payment by filling in the required information.**

Please provide a copy of your Child(ren)'s Birth AND Sacramental Certificates to the Office.

Submit

ADDRESS

St. Pius X Catholic Church
14107 Lyons Valley Road
Jamul, CA 91935

OFFICE HOURS
9:00 AM-4:00 PM

CONTACT

parishoffice@stpiusxjamul.com

PH: 619-669-0085

DIRECTIONS

SCHEDULE

MASS
Saturday: 5:00pm
Sunday: 8:30am English;
11:00am English
12:30pm español
Daily Mass: Tues-Fri 7:30am
Adoration: Thursday 8:30-5pm

RECONCILIATION
By appointment Only

ST. PIUS X RELIGIOUS EDUCATIONREGISTRATION FORM

REGISTRATION FORMPlease fill out the information below. If you prefer, you may DOWNLOAD THE FORM and submit it to the Catechetical Ministry Office with your payment.

ADDRESS

CONTACT

SCHEDULE

ST. PIUS X RELIGIOUS EDUCATION
REGISTRATION FORM

REGISTRATION FORM
Please fill out the information below. If you prefer, you may DOWNLOAD THE FORM and submit it to the Catechetical Ministry Office with your payment.