2023-2024 Religious Education Registration

Welcome to Saint Agnes Religious Education. Note that only one Registration Form needs to be filled out per family.

Saint Agnes Religious Education program is for children (First Grade through year 8) of registered parishioners of Saint Agnes who are not currently enrolled in a Catholic School. Non-parishioners need a letter of permission from their home parish to register their children in our Religious Education program.

ARE YOU REGISTERED AT SAINT AGNES?*

Yes
No

If yes, what is your Parish ID number?

If you are not registered elsewhere and wish to be registered at Saint Agnes, Please register online here.

This year, we offer classes on Sunday morning (10:15 a.m. to 11:15 a.m.) or Tuesday evening (6:15 p.m. to 7:15 p.m.). PLEASE NOTE: we need a minimum of four (4) students per class; therefore, we may not be able to guarantee your choice of class. Please consider being a Catechist or an Aide!

Registering for

Sunday Morning
Tuesday Evening (No 8th Grade Class offered!)

FAMILY NAME*

Family Email*

Family Home Address*

Street Address Address Line 2 City State ZIP Code

Are you a returning St. Agnes Religious Education family?

Yes
No

FATHER'S NAME*

Prefix First Last

Head of Household?

Yes
No

Cell Phone*

Email Address*

Is your home address above the same as the family address?

Yes
No

Address*

Street Address Address Line 2 City State ZIP Code

Religion*

Marital Status*

MOTHER'S NAME*

Prefix First Last

Head of Household?

Yes
No

Cell Phone*

Email Address*

Is your home address above the same as the family address?

Yes
No

Address*

Street Address Address Line 2 City State ZIP Code

Religion*

Marital Status*

Child(ren) reside with…*

Guardian's Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Guardian Cell Phone*

Guardian Email Address*

If needed, please download the Parental Consent for Custody or Other Issues, Complete the Form and then upload it back.

Download Parental Consent Form.

Upload completed and signed Parental Consent Form

Max. file size: 50 MB.

Emergency Contact

Please designate an emergency contact who is not a parent/legal guardian who has medical-consent and dismissal-release authority in the event of a medical emergency or unscheduled dismissal. The emergency contact will be called only in the event that the parent or legal guardians cannot be reached.

Emergency Contact Name*

Prefix First Last

Emergency Contact Relationship to Student(s)

Specify Relationship to Student

Emergency Contact Email Address*

Emergency Contact Cell Phone Number*

Emergency Contact Other Phone

Student 1 Information

Student Name*

First Middle Last

Is the child returning?

Yes
No

Gender*

Upload Copy of Birth Certificate

Max. file size: 50 MB.

Birth Date*

What Sacraments has the child received?

Baptism
First Penance
First Holy Communion
Confirmation

Upload copy of Baptismal Certificate

Max. file size: 50 MB.

Upload copy of First Holy Communion Certificate

Max. file size: 50 MB.

Upload copy of Confirmation Certificate

Max. file size: 50 MB.

Academic School 2023-2024*

Academic Grade 2023-2024*

What was the last Religious Education grade completed?*

Where? (Parish Name and Address)*

Are there any health, behavioral, learning, and special testing accommodations that we should be aware of?*

DO YOU HAVE ANOTHER STUDENT TO REGISTER? IF YES, MAKE SURE TO CLICK Yes so that form fields for needed information for Child 2 appears

Yes
No

Student 2 Information

Student Name*

First Middle Last

Is the child returning?

Yes
No

Gender*

Birth Date*

Upload Copy of Birth Certificate

Max. file size: 50 MB.

What Sacraments has the child received?

Baptism
First Penance
First Holy Communion
Confirmation

Upload copy of Baptismal Certificate

Max. file size: 50 MB.

Upload copy of First Holy Communion Certificate

Max. file size: 50 MB.

Upload copy of Confirmation Certificate

Max. file size: 50 MB.

Academic School 2023-2024*

Academic Grade 2023-2024*

What was the last Religious Education grade completed?*

Where? (Parish Name and Address)*

Are there any health, behavioral, learning, and special testing accommodations that we should be aware of?*

DO YOU HAVE A THIRD STUDENT TO REGISTER? IF YES, MAKE SURE TO CLICK Yes so that form fields for needed information for Child 3 appears

Yes
No

Student 3 Information

Student Name*

First Middle Last

Is the child returning?

Yes
No

Gender*

Birth Date*

Upload Copy of Birth Certificate

Max. file size: 50 MB.

What Sacraments has the child received?

Baptism
First Penance
First Holy Communion
Confirmation

Upload copy of Baptismal Certificate

Max. file size: 50 MB.

Upload copy of First Holy Communion Certificate

Max. file size: 50 MB.

Upload copy of Confirmation Certificate

Max. file size: 50 MB.

Academic School 2023-2024*

Academic Grade 2023-2024*

What was the last Religious Education grade completed?*

Where? (Parish Name and Address)*

Are there any health, behavioral, learning, and special testing accommodations that we should be aware of?*

DO YOU HAVE A FOURTH STUDENT TO REGISTER? IF YES, MAKE SURE TO CLICK Yes so that form fields for needed information for Child 4 appears

Yes
No

Student 4 Information

Student Name*

First Middle Last

Is the child returning?

Yes
No

Gender*

Birth Date*

Upload Copy of Birth Certificate

Max. file size: 50 MB.

What Sacraments has the child received?

Baptism
First Penance
First Holy Communion
Confirmation

Upload copy of Baptismal Certificate

Max. file size: 50 MB.

Upload copy of First Holy Communion Certificate

Max. file size: 50 MB.

Upload copy of Confirmation Certificate

Max. file size: 50 MB.

Academic School 2023-2024*

Academic Grade 2023-2024*

What was the last Religious Education grade completed?*

Where? (Parish Name and Address)*

Are there any health, behavioral, learning, and special testing accommodations that we should be aware of?*

Volunteering

We need your help! If you want to share your talents and volunteer, please register below

Access RE Volunteer Registration Online Form.

Registration Fees

Description of Fees – PLEASE NOTE THESE FEES ARE NON REFUNDABLE

Please pay online here.

Your registration is not complete until we have received payment. Please read carefully the statements below.

PHOTO, PRESS, AUDIO, AND ELECTRONIC MEDIA RELEASE*

I authorize the Catholic Diocese of Arlington, its parishes, its schools, and/or the Arlington Catholic Herald to use and publish the photographs and/or videography in which I am featured, and/or audio recordings made of my voice.

I agree that the Catholic Diocese of Arlington, its parishes, its schools and/or the Arlington Catholic Herald may use such photographs, video, and/or audio recordings of me with or without my name and for any lawful purpose, including, for example, such purposes as news, publicity, illustration, bulletin and Web content.

I have read and understood the above.

Drop-off and Pick-up Procedures

I have downloaded, completed, and uploaded the form

Download Drop-off and Pickup Procedures form.

Upload the completed and signed Drop-off and Pick-up Procedures Form

Max. file size: 50 MB.

Religious Education Handbook

Download the Handbook.

HANDBOOK ACKNOWLEDGEMENT FORM*

After reading the Religious Education Parent-Student Handbook, we understand our responsibilities and will comply with all that is stated in the handbook.

I have read and understand the above.

Signature*

Comments

This field is for validation purposes and should be left unchanged.

2023-2024 Religious Education Registration

Welcome to Saint Agnes Religious Education. Note that only one Registration Form needs to be filled out per family.

This year, we offer classes on Sunday morning (10:15 a.m. to 11:15 a.m.) or Tuesday evening (6:15 p.m. to 7:15 p.m.). PLEASE NOTE: we need a minimum of four (4) students per class; therefore, we may not be able to guarantee your choice of class. Please consider being a Catechist or an Aide!

If needed, please download the Parental Consent for Custody or Other Issues, Complete the Form and then upload it back.

Emergency Contact

Student 1 Information

Student 2 Information

Student 3 Information

Student 4 Information

Volunteering

Registration Fees

Your registration is not complete until we have received payment. Please read carefully the statements below.

Religious Education Handbook

Religious Education Registration 2023-2024

Welcome to Saint Agnes Religious Education. Note that only one Registration Form needs to be filled out per family.

This year, we offer classes on Sunday morning (10:15 a.m. to 11:15 a.m.) or Tuesday evening (6:15 p.m. to 7:15 p.m.). PLEASE NOTE: we need a minimum of four (4) students per class; therefore, we may not be able to guarantee your choice of class. Please consider being a Catechist or an Aide!

If needed, please download the Parental Consent for Custody or Other Issues, Complete the Form and then upload it back.

Emergency Contact

Student 1 Information

Student 2 Information

Student 3 Information

Student 4 Information

Volunteering

Registration Fees

Your registration is not complete until we have received payment. Please read carefully the statements below.

Religious Education Handbook

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