2515 N. Main Street
Miami OK 74354
918-542-5281
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Religious Education Registration Form
Contact Information
Mother's Name
First Name*
Last Name*
Father's Name
First Name
Last Name
Address
Street 1*
Street 2
City*
State*
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None--International
Zip*
Primary Phone
Required*
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Cell Phone
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Parent's Work Phone
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E-mail Address
Registration Fee
Fee Schedule:
The cost for Sacred Heart Church Religious Education is $20 per child and $15 for each additional child.
Child 1
Child's Name
First Name*
Last Name*
Birth Date
Required*
Month
January
February
March
April
May
June
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August
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/
Day
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Gender
Required*
Male
Female
Sacraments Completed
Required*
First Communion
Baptism
Reconciliation
Confirmation
Programs for which you are registering.
Please make a selection
Pre-School thru 8th Grade
9th Grade thru 12th Grade
Confirmation or First Communion Registration?
Please make a selection
First Communion
Confirmation
Select from the drop down list
Grade of Religious Education Student for Current School Year
Child 2
Child's Name
First Name
Last Name
Birth Date
Month
January
February
March
April
May
June
July
August
September
October
November
December
/
Day
1
2
3
4
5
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15
16
17
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19
20
21
22
23
24
25
26
27
28
29
30
31
/
Gender
Male
Female
Sacraments Completed
First Communion
Baptism
Reconciliation
Confirmation
Programs for which you are registering.
Please make a selection
Pre-School thru 8th Grade
9th Grade thru 12th Grade
Confirmation or First Communion Registration?
Please make a selection
First Communion
Confirmation
Select from the drop down list
Grade of Religious Education Student for Current School Year
Child 3
Child's Name
First Name
Last Name
Birth Date
Month
January
February
March
April
May
June
July
August
September
October
November
December
/
Day
1
2
3
4
5
6
7
8
9
10
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12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
Gender
Male
Female
Sacraments Completed
First Communion
Baptism
Reconciliation
Confirmation
Programs for which you are registering.
Please make a selection
Pre-School thru 8th Grade
9th Grade thru 12th Grade
Confirmation or First Communion Registration?
Please make a selection
First Communion
Confirmation
Select from the drop down list.
Grade of Religious Education Student for Current School Year
Child 4
Child's Name
First Name
Last Name
Birth Date
Month
January
February
March
April
May
June
July
August
September
October
November
December
/
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
Gender
Male
Female
Sacraments Completed
First Communion
Baptism
Reconciliation
Confirmation
Programs for which you are registering.
Please make a selection
Pre-School thru 8th Grade
9th Grade thru 12th Grade
Confirmation or First Communion Registration?
Please make a selection
First Communion
Confirmation
Select from the drop down list
Grade of Religious Education Student for Current School Year
Social Media Release
Name of Child
First Name*
Last Name*
Name of Child
First Name
Last Name
Name of Child
First Name
Last Name
Release Information:
I hereby give permission to Sacred Heart Parish of Miami, OK to use photographs of my child in their publications and social media outlets ... Facebook; Parish Website; Instagram; Twitter...etc.
Date
Required*
Month
January
February
March
April
May
June
July
August
September
October
November
December
/
Day
1
2
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Signature:
Required*
It may take a moment for your information to be submitted.