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Religious Education Pre Registration Form

- Religious Ed

Please fill out the form below, and the Religious Education Office will send you the necessary paper work to register your child or children for classes. If you have any questions, please leave them in the questions or comments field, and someone from the Religious Education Office will respond. Thank you!
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- Today's Date REQUIRED Please fill out this field. Please enter a date.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Male Female Please fill out this field.
- Child's Birth Date REQUIRED Please fill out this field. Please enter valid data.
- Child's Grade as of September REQUIRED Please fill out this field.
- Sacraments Completed Baptism Reconciliation First Eucharist Confirmation
- Father's Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Name REQUIRED Please fill out this field. Please enter valid data.
- Street REQUIRED Please fill out this field. Please enter valid data.
- Apartment Number 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.
- 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.
- Questions or Comments
- I agree that as the parent/guardian, this information will be submitted to Saint Anthony Parish for use in registration.
  I Agree Please select this field.
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Saint Anthony Church

1413 Mineral Spring Ave.

North Providence, R.I. 02904

Religious Education Pre Registration Form