Religious Education for Children

FAMILY INFORMATION

Family Last Name REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. 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.

Home Phone Number Please enter a phone number.

Members of Holy Angels? REQUIRED Yes No Please fill out this field.

PHOTO / MEDIA PERMISSIONS

I give permission for Holy Angels to use photographs of my child/children on the parish website, Facebook, and/or in promotion of Holy Angels School of Religion.

Indicate Permission Below REQUIRED Yes, I give permission No, I do not give permission Please fill out this field.

FATHER'S INFORMATION

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Father's Religion: REQUIRED Please fill out this field. Please enter valid data.

Father's Email REQUIRED Please fill out this field. Please enter an email address.

Father's Cell / Work Numbers Please enter valid data.

MOTHER'S INFORMATION

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Mother's Religion: REQUIRED Please fill out this field. Please enter valid data.

Mother's Email REQUIRED Please fill out this field. Please enter an email address.

Mother's Cell / Work Numbers Please enter valid data.

EMERGENCY INFORMATION

In the event of weather related closings, you will be notified by email at the address listed above. Information on closings may also be found on our Facebook page and on our website:
holyangelsbasehor.org

STUDENT INFORMATION

Number of Children Being Registered REQUIRED Please fill out this field.
Child (Baptismal Name) 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter a date.
- Grade Entering (K, 1, 2, 3, 4, 5, 6, 7, 8) REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Sacraments Received (check all that apply)
- Sacrament: REQUIRED Baptism Reconciliation Eucharist Confirmation Please fill out this field.
- SPECIAL NEEDS
- Your answer to the following will be kept confidential and will only be used by Religious Education staff and the Parish Special Needs Advocate to benefit your child.
- (Yes / No) Does your child have any special needs that we should be aware of and if so, please explain: REQUIRED Please fill out this field.
- (Yes / No) Are there any accommodations/modifications that would help your student participate in Holy Angels Religious Education classes more fully and if so, explain: REQUIRED Please fill out this field.
Child (Baptismal Name) 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter a date.
- Grade Entering (K, 1, 2, 3, 4, 5, 6, 7, 8) REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Sacraments Received (check all that apply)
- Sacrament: REQUIRED Baptism Reconciliation Eucharist Confirmation Please fill out this field.
- SPECIAL NEEDS
- Your answer to the following will be kept confidential and will only be used by Religious Education staff and the Parish Special Needs Advocate to benefit your child.
- (Yes / No) Does your child have any special needs that we should be aware of and if so, please explain: REQUIRED Please fill out this field.
- (Yes / No) Are there any accommodations/modifications that would help your student participate in Holy Angels Religious Education classes more fully and if so, explain: REQUIRED Please fill out this field.
Child (Baptismal Name) 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter a date.
- Grade Entering (K, 1, 2, 3, 4, 5, 6, 7, 8) REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Sacraments Received (check all that apply)
- Sacrament: REQUIRED Baptism Reconciliation Eucharist Confirmation Please fill out this field.
- SPECIAL NEEDS
- Your answer to the following will be kept confidential and will only be used by Religious Education staff and the Parish Special Needs Advocate to benefit your child.
- (Yes / No) Does your child have any special needs that we should be aware of and if so, please explain: REQUIRED Please fill out this field.
- (Yes / No) Are there any accommodations/modifications that would help your student participate in Holy Angels Religious Education classes more fully and if so, explain: REQUIRED Please fill out this field.
Child (Baptismal Name) 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter a date.
- Grade Entering (K, 1, 2, 3, 4, 5, 6, 7, 8) REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Sacraments Received (check all that apply)
- Sacrament: REQUIRED Baptism Reconciliation Eucharist Confirmation Please fill out this field.
- SPECIAL NEEDS
- Your answer to the following will be kept confidential and will only be used by Religious Education staff and the Parish Special Needs Advocate to benefit your child.
- (Yes / No) Does your child have any special needs that we should be aware of and if so, please explain: REQUIRED Please fill out this field.
- (Yes / No) Are there any accommodations/modifications that would help your student participate in Holy Angels Religious Education classes more fully and if so, explain: REQUIRED Please fill out this field.
Child (Baptismal Name) 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter a date.
- Grade Entering (K, 1, 2, 3, 4, 5, 6, 7, 8) REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Sacraments Received (check all that apply)
- Sacrament: REQUIRED Baptism Reconciliation Eucharist Confirmation Please fill out this field.
- SPECIAL NEEDS
- Your answer to the following will be kept confidential and will only be used by Religious Education staff and the Parish Special Needs Advocate to benefit your child.
- (Yes / No) Does your child have any special needs that we should be aware of and if so, please explain: REQUIRED Please fill out this field.
- (Yes / No) Are there any accommodations/modifications that would help your student participate in Holy Angels Religious Education classes more fully and if so, explain: REQUIRED Please fill out this field.
Child (Baptismal Name) 6
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth (xx/xx/xxxx) REQUIRED Please fill out this field. Please enter a date.
- Grade Entering (K, 1, 2, 3, 4, 5, 6, 7, 8) REQUIRED Please fill out this field. Please enter valid data.
- Gender REQUIRED Female Male Please fill out this field.
- Sacraments Received (check all that apply)
- Sacrament: REQUIRED Baptism Reconciliation Eucharist Confirmation Please fill out this field.
- SPECIAL NEEDS
- Your answer to the following will be kept confidential and will only be used by Religious Education staff and the Parish Special Needs Advocate to benefit your child.
- (Yes / No) Does your child have any special needs that we should be aware of and if so, please explain: REQUIRED Please fill out this field.
- (Yes / No) Are there any accommodations/modifications that would help your student participate in Holy Angels Religious Education classes more fully and if so, explain: REQUIRED Please fill out this field.

Choose Tuition (based on number of children you are registering) REQUIRED Please fill out this field.

Holy Angels Catholic Church

Basehor, KS

Religious Education for Children

RELIGIOUS ED REGISTRATION FORM

Religious Ed Online Payment: $75 per student, $100 for 2 or more children