Children and Youth Registration 2021-2022

Parent One

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.

Cell 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.

I am interested in being a catechist/sub or helping with small groups REQUIRED Yes No Please fill out this field.

Parent Two

First Name Please enter valid data.

Last Name Please enter valid data.

Address Please enter valid data.

City Please enter valid data.

State

Zip Please enter a zip code.

Cell Phone Number Please enter a phone number.

Preferred Email Please enter an email address.

I am interested in being a catechist/sub or helping with small groups Yes No

Enter number of children here: REQUIRED Please fill out this field.
Child's Name 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.
- Child lives with REQUIRED Both Mother Only Father Only Shared Custody Other Please fill out this field.
- Child's School Grade Level for 2021-22
- Child's Birth Date REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Received REQUIRED Baptism Reconciliation First Communion Confirmation I don't know Please fill out this field.
- Did this child participate in religious education last year? REQUIRED Yes No I don't know Please fill out this field.
Child's Name 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.
- Child lives with REQUIRED Both Mother Only Father Only Shared Custody Other Please fill out this field.
- Child's School Grade Level for 2021-22
- Child's Birth Date REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Received REQUIRED Baptism Reconciliation First Communion Confirmation I don't know Please fill out this field.
- Did this child participate in religious education last year? REQUIRED Yes No I don't know Please fill out this field.
Child's Name 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.
- Child lives with REQUIRED Both Mother Only Father Only Shared Custody Other Please fill out this field.
- Child's School Grade Level for 2021-22
- Child's Birth Date REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Received REQUIRED Baptism Reconciliation First Communion Confirmation I don't know Please fill out this field.
- Did this child participate in religious education last year? REQUIRED Yes No I don't know Please fill out this field.
Child's Name 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.
- Child lives with REQUIRED Both Mother Only Father Only Shared Custody Other Please fill out this field.
- Child's School Grade Level for 2021-22
- Child's Birth Date REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Received REQUIRED Baptism Reconciliation First Communion Confirmation I don't know Please fill out this field.
- Did this child participate in religious education last year? REQUIRED Yes No I don't know Please fill out this field.
Child's Name 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.
- Child lives with REQUIRED Both Mother Only Father Only Shared Custody Other Please fill out this field.
- Child's School Grade Level for 2021-22
- Child's Birth Date REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Received REQUIRED Baptism Reconciliation First Communion Confirmation I don't know Please fill out this field.
- Did this child participate in religious education last year? REQUIRED Yes No I don't know Please fill out this field.
Child's Name 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.
- Child lives with REQUIRED Both Mother Only Father Only Shared Custody Other Please fill out this field.
- Child's School Grade Level for 2021-22
- Child's Birth Date REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Received REQUIRED Baptism Reconciliation First Communion Confirmation I don't know Please fill out this field.
- Did this child participate in religious education last year? REQUIRED Yes No I don't know Please fill out this field.

Christ Our Redeemer

Catholic Church in Niceville, Florida

Children and Youth Registration 2021-2022

Required Forms

Form Submission

Registration Form for 2021-2022

Parent One

Parent Two