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CCD Registration

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  Number of Children Registering REQUIRED Please fill out this field.
  
  Child Information 1
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Special Concerns (Allergies / Special Needs) Please enter valid data.
  
  School Please enter valid data.
  
  Grade
  
  Child Information 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Special Concerns (Allergies / Special Needs) Please enter valid data.
  
  School Please enter valid data.
  
  Grade
  
  Child Information 3
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Special Concerns (Allergies / Special Needs) Please enter valid data.
  
  School Please enter valid data.
  
  Grade
  
  Child Information 4
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Special Concerns (Allergies / Special Needs) Please enter valid data.
  
  School Please enter valid data.
  
  Grade
  
  Child Information 5
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Special Concerns (Allergies / Special Needs) Please enter valid data.
  
  School Please enter valid data.
  
  Grade
  
  Child Information 6
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Date of Birth Please enter a date.
  
  Special Concerns (Allergies / Special Needs) Please enter valid data.
  
  School Please enter valid data.
  
  Grade
  
  Registered Church Please enter valid data.
  
  Click Here if you need the rectory to contact you about registering for a Church Please Contact Me
  
  Parent / Guardian Information
  
  Parent / Guardian Information REQUIRED Please fill out this field.
  
  Parent / Guardian 1
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter valid data.
  
  Mailing Address 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.
  
  Parent / Guardian 2
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter valid data.
  
  Mailing Address 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.
  
  Parent / Guardian 3
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter valid data.
  
  Mailing Address 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.
  
  Parent / Guardian 4
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Cell Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter valid data.
  
  Mailing Address 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.
  
  Our family prefers to attend Mass at the following weekly Mass times: (Check all that apply) St. Boniface, Saturday Evening St. Cyril of Alexandria, Saturday Evening St. Peter, Sunday Morning St. Boniface, Sunday Morning St. Cyril of Alexandria, Sunday Morning Other - Please write below
  
  Other Church You Attend Please enter valid data.
  
  Interests
  
  I have an interest in the follow: (Please check all that apply) Alter Serving Children's Choir Faith and Fellowship Activities Summer Bible School Teen Volunteering/Activities Adult Choir / Canter Mass Greeter Lector Usher Bible Studies, Adoration, Novenas, etc. Joining the Senior Ministries Joining the Parish Fund-Raising Committee Joining the Faith and Fellowship Committee Becoming a member of Christ Our Savior Parish
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Submit
  
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- Christ Our Savior Religious Education Contact Information
  
  Religious Education Offfice - 412-734-0505 Email: [email protected]
  
  Jean DiDonato - Sacramental Coordinator
  Jennifer Earnest - Sacrament Program Manager
  Kristen Frankovich - Catechetical Administrator
  
  Rectory Office - Christ Our Savior Parish - 412-761-1552