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. Homeschool Kindergarten program is available. 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 currently a parishioner at Saint Agnes, please register online here..FAMILY NAME* Last Family Email* Family Home Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Who will be primary responsible for the child(ren)'s Religious Education?*Both ParentsFatherMotherGrandparentOtherPlease indicate relationship to the child(ren) Emergency ContactPlease 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* Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. Prefix First Last Emergency Contact Relationship to Student(s)GrandfatherGrandmotherUncleAuntFamily FriendOtherSpecify Relationship to Student Emergency Contact Email Address* Emergency Contact Cell Phone Number*Emergency Contact Other Phone NumberWere your children enrolled last year with Saint Agnes Religious Education?* Yes No FATHER'S NAME* Dr.MissMr.Mrs.Ms.Mx.Prof.Rev. 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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Religion*CatholicChristianOtherMarital Status*Catholic Church MarriageMarried (Civilly)SingleSeparatedDivorcedWidowedMOTHER'S NAME* Mrs.Ms.Dr.Prof.Rev. 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 AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code ReligionCatholicChristianOtherMarital Status*Catholic Church MarriageMarried (Civilly)SingleSeparatedDivorcedWidowedChild(ren) reside with…*Father and MotherFatherMotherSole CustodyJoint CustodyGuardianOtherGuardian's Name* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal 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 FormMax. file size: 50 MB.Student 1 InformationStudent Name* First Middle Last Was the child enrolled in Religious Education at Saint Agnes last year?* Yes No Gender*MaleFemaleUpload Copy of Birth CertificateMax. file size: 50 MB.Birth Date* Month Day Year What Sacraments has the child received? Baptism First Penance First Holy Communion Confirmation Upload copy of Baptismal CertificateMax. file size: 50 MB.Upload copy of First Holy Communion CertificateMax. file size: 50 MB.Upload copy of Confirmation CertificateMax. file size: 50 MB.Academic School 2024-2025* Academic Grade 2024-2025*1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade (Freshman in High School)10th Grade (Sophomore in High School)11th Grade (Junior in High School)12th Grade (Senior in High School)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?*Will your child be preparing to receive a Sacrament this year? Please note that this will require an additional registration. You will be contacted by the Religious Education office.* Yes No Unsure What Sacrament does your child need to receive this year?BaptismFirst Penance/First Holy CommunionConfirmationDO 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 InformationStudent Name* First Middle Last Was the child enrolled in Religious Education at Saint Agnes last year? Yes No Gender*MaleFemaleBirth Date* Month Day Year Upload Copy of Birth CertificateMax. file size: 50 MB.What Sacraments has the child received? Baptism First Penance First Holy Communion Confirmation Upload copy of Baptismal CertificateMax. file size: 50 MB.Upload copy of First Holy Communion CertificateMax. file size: 50 MB.Upload copy of Confirmation CertificateMax. file size: 50 MB.Academic School 2024-2025* Academic Grade 2024-2025*1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade (Freshman in High School)10th Grade (Sophomore in High School)11th Grade (Junior in High School)12th Grade (Senior in High School)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?*Will your child be preparing to receive a Sacrament this year? Please note that this will require an additional registration. You will be contacted by the Religious Education office.* Yes No Unsure What Sacrament does your child need to receive this year?BaptismFirst Penance/First Holy CommunionConfirmationDO 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 InformationStudent Name* First Middle Last Was the child enrolled in Religious Education at Saint Agnes last year? Yes No Gender*MaleFemaleBirth Date* Month Day Year Upload Copy of Birth CertificateMax. file size: 50 MB.What Sacraments has the child received? Baptism First Penance First Holy Communion Confirmation Upload copy of Baptismal CertificateMax. file size: 50 MB.Upload copy of First Holy Communion CertificateMax. file size: 50 MB.Upload copy of Confirmation CertificateMax. file size: 50 MB.Academic School 2024-2025* Academic Grade 2024-2025*1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade (Freshman in High School)10th Grade (Sophomore in High School)11th Grade (Junior in High School)12th Grade (Senior in High School)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?*Will your child be preparing to receive a Sacrament this year? Please note that this will require an additional registration. You will be contacted by the Religious Education office.* Yes No Unsure What Sacrament does your child need to receive this year?BaptismFirst Penance/First Holy CommunionConfirmationDO 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 InformationStudent Name* First Middle Last Was the child enrolled in Religious Education at Saint Agnes last year? Yes No Gender*MaleFemaleBirth Date* Month Day Year Upload Copy of Birth CertificateMax. file size: 50 MB.What Sacraments has the child received? Baptism First Penance First Holy Communion Confirmation Upload copy of Baptismal CertificateMax. file size: 50 MB.Upload copy of First Holy Communion CertificateMax. file size: 50 MB.Upload copy of Confirmation CertificateMax. file size: 50 MB.Academic School 2024-2025* Academic Grade 2024-2025*1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade (Freshman in High School)10th Grade (Sophomore in High School)11th Grade (Junior in High School)12th Grade (Senior in High School)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?*Will your child be preparing to receive a Sacrament this year? Please note that this will require an additional registration. You will be contacted by the Religious Education office.* Yes No Unsure What Sacrament does your child need to receive this year?BaptismFirst Penance/First Holy CommunionConfirmationVolunteeringWe need your help! If you want to share your talents and volunteer, please register below Access RE Volunteer Registration Online Form.Please read carefully the statements below.PHOTO, PRESS, AUDIO, AND ELECTRONIC MEDIA RELEASE have read and understood the below.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.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* I have read and understand the below.After reading the Religious Education Parent-Student Handbook, we understand our responsibilities and will comply with all that is stated in the handbook.Signature*Please review your information. After you click submit, you will receive a link for payment of the registration fee(s).EmailThis field is for validation purposes and should be left unchanged. Δ