Your generous support allows us to serve 2000 families at St. Martha | Donate Today

Home
General Information
Sacraments
Faith Formation
Ministries
Ways to Give

St. Martha Parish Community Religious Education Program Registration Information 2021-2022

Please complete the information below and return it with your registration fee. The registration fee is $30.00
for the first child or $50.00 for two or more children. Please click here to submit payment.

Parent / Guadrian Name *

First

Last

Additional Parent / Guardian

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone *

Work Phone *

Cell Phone *

Email *

Emergency Contact Person *

First

Last

Relationship to Student *

Daytime Phone *

Name of Child *

First

Last

Date of Birth *

School *

Grade Entering *

Baptism *

Yes
No

Penance *

Yes
No

Confirmation *

Yes
No

Eucarhist *

Yes
No

Additional Notes

Name of Child

First

Last

Date of Birth

School

Grade Entering

Baptism

Yes
No

Penance

Yes
No

Confirmation

Yes
No

Eucarhist

Yes
No

Additional Notes

Name of Child

First

Last

Date of Birth

School

Grade Entering

Baptism

Yes
No

Penance

Yes
No

Confirmation

Yes
No

Eucarhist

Yes
No

Additional Notes

Person(s) Authorized to Pick-up Child(ren) Other Than Parent *

First

Last

Person(s) Authorized to Pick-up Child(ren) Other Than Parent

First

Last

Special Needs

Medication (Health Conditions)

VISIT US

CONTACT US

Name *
* Please enter your name
Email *
* Please enter a valid email address
Message *
* Please enter message

St. Martha Parish Community Religious Education Program Registration Information 2021-2022

VISIT US

IMPORTANT LINKS

CONTACT US