Family Name Date Address Phone Number Email Address Phone Number Religion Mother's Maiden Name Phone Number Religion ABOUT YOUR CHILDREN CHILD #1 Name * Birthday Age Grade Level (Fall 2012) -- Choose One -- Preschool Kindergarten First Second Third Fourth Fifth Six Seventh Eighth Ninth Tenth Eleventh Twelfth School Attending Sacraments CHILD #1 has received   Catholic Baptism * Yes No Confirmation * Yes No 1st Eucharist * Yes No Penance/Confession/Reconciliation * Yes No Available Classes   Choose the time you prefer to attend Catechesis of the Good Shepherd (3-5 yrs): Sun, 11:00a-12:15p Catechesis of the Good Shepherd (3-5 yrs): Mon, 9:00-10:15a Catechesis of the Good Shepherd (6-9 yrs): Wed, 2:30-3:30p 4th-6th grade Bible Study: Mon, 6:30-7:30p Mary’s Club (Girls K-6th gr): 3rd Thu, Sep-May 4:00-5:00p R.C.I.A adapted for Children: a family interview will be scheduled.   CHILD #2 First Name Last Name Name he/she goes by Birthday Gender Male Female   Grade Level (Fall 2011) -- Choose One -- Preschool Kindergarten First Second Third Fourth Fifth Six Seventh Eighth Ninth Tenth Eleventh Twelfth Current School Attending Special Needs/Allergies Yes No   If yes, please explain   Sacraments CHILD #2 has received   Catholic Baptism Yes No Confirmation Yes No 1st Eucharist Yes No Penance/Confession/Reconciliation Yes No Available Classes   Choose the time you prefer to attend Catechesis of the Good Shepherd (3-5 yrs): Sun, 11:00a-12:15p Catechesis of the Good Shepherd (3-5 yrs): Mon, 9:00-10:15a Catechesis of the Good Shepherd (6-9 yrs): Wed, 2:30-3:30p 4th-6th grade Bible Study: Mon, 6:30-7:30p Mary’s Club (Girls K-6th gr): 3rd Thu, Sep-May 4:00-5:00p R.C.I.A adapted for Children: a family interview will be scheduled.   CHILD #3 First Name Last Name Name he/she goes by Birthday Gender Male Female   Grade Level (Fall 2011) -- Choose One -- Preschool Kindergarten First Second Third Fourth Fifth Six Seventh Eighth Ninth Tenth Eleventh Twelfth Current School Attending Special Needs/Allergies Yes No   If yes, please explain