St. Clare of Montefalco Parish

A Catholic Community in
Detroit and Grosse Pointe Park, MI USA

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Online Registration Form

- Religious Ed Registration Form
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Family Last Name Please enter valid data.
  
  Street Address 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.
  
  Main Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Main Contact Email Address REQUIRED Please fill out this field. Please enter an email address.
  
  Physical Custody of Child REQUIRED Mother Father Mother and Father Grandparent Please fill out this field.
  
  Mother
  
  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 Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Mother's Email REQUIRED Please fill out this field. Please enter an email address.
  
  Religion of Mother Please enter valid data.
  
  Father
  
  First Name Please enter valid data.
  
  Last Name Please enter valid data.
  
  Phone Number Please enter a phone number.
  
  Email Please enter an email address.
  
  Religion of Father Please enter valid data.
  
  Student Information REQUIRED
  Indicate the number of children you are registering
  Please fill out this field.
  
  Student 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.
  
  Select Class Day/Time (All are in-person for 2021-2022) REQUIRED Sunday Family - 9:00 AM (Mass) - 11:30 AM Monday - 4:00-5:15 PM (grades 1-4) Monday - 6:30-7:45 PM (grade 5-8) Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade (if grade 8 please list school attending) REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Male Female
  
  Baptism/Catholic (copy of certificate will be needed) REQUIRED Yes No Please fill out this field.
  
  Date of Baptism Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  Eucharist REQUIRED Yes No Please fill out this field.
  
  Date of First Communion Please enter a date.
  
  Church of First Communion Please enter valid data.
  
  Penance REQUIRED Yes No Please fill out this field.
  
  Date of First Reconciliation Please enter a date.
  
  Church of Reconciliation Please enter valid data.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Date of Confirmation Please enter a date.
  
  Church of Confirmation Please enter valid data.
  
  Photo Release: I give my permission to St. Clare of Montefalco Parish to photograph and video record my child at religious eduction classes. I give permission to copyright, use, and publish the photographs and video for any lawful purpose, including newspaper articles, church publications, church website and church (parish) social media sites.
  
  Photo Release REQUIRED Yes - You can use my child photo No - Permission denied Please fill out this field.
  
  Pick-up Policy: If someone other than the parent(s) listed on the form is authorized to pick up your child please provide their name(s) below. Please come to the carport door to drop off and pick up your child in the grades first through fourth.
  
  Name(s) of adults authorized to pick up your child
  
  May the non-custodial parent pick you your child? Yes No
  
  If yes, please provide his/her name. Please enter valid data.
  
  My child has permission to walk home REQUIRED Yes No Please fill out this field.
  
  Student 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.
  
  Select Class Day/Time (All are in-person for 2021-2022) REQUIRED Sunday Family - 9:00 AM (Mass) - 11:30 AM Monday - 4:00-5:15 PM (grades 1-4) Monday - 6:30-7:45 PM (grade 5-8) Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade (if grade 8 please list school attending) REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Male Female
  
  Baptism/Catholic (copy of certificate will be needed) REQUIRED Yes No Please fill out this field.
  
  Date of Baptism Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  Eucharist REQUIRED Yes No Please fill out this field.
  
  Date of First Communion Please enter a date.
  
  Church of First Communion Please enter valid data.
  
  Penance REQUIRED Yes No Please fill out this field.
  
  Date of First Reconciliation Please enter a date.
  
  Church of Reconciliation Please enter valid data.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Date of Confirmation Please enter a date.
  
  Church of Confirmation Please enter valid data.
  
  Photo Release: I give my permission to St. Clare of Montefalco Parish to photograph and video record my child at religious eduction classes. I give permission to copyright, use, and publish the photographs and video for any lawful purpose, including newspaper articles, church publications, church website and church (parish) social media sites.
  
  Photo Release REQUIRED Yes - You can use my child photo No - Permission denied Please fill out this field.
  
  Pick-up Policy: If someone other than the parent(s) listed on the form is authorized to pick up your child please provide their name(s) below. Please come to the carport door to drop off and pick up your child in the grades first through fourth.
  
  Name(s) of adults authorized to pick up your child
  
  May the non-custodial parent pick you your child? Yes No
  
  If yes, please provide his/her name. Please enter valid data.
  
  My child has permission to walk home REQUIRED Yes No Please fill out this field.
  
  Student 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.
  
  Select Class Day/Time (All are in-person for 2021-2022) REQUIRED Sunday Family - 9:00 AM (Mass) - 11:30 AM Monday - 4:00-5:15 PM (grades 1-4) Monday - 6:30-7:45 PM (grade 5-8) Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade (if grade 8 please list school attending) REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Male Female
  
  Baptism/Catholic (copy of certificate will be needed) REQUIRED Yes No Please fill out this field.
  
  Date of Baptism Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  Eucharist REQUIRED Yes No Please fill out this field.
  
  Date of First Communion Please enter a date.
  
  Church of First Communion Please enter valid data.
  
  Penance REQUIRED Yes No Please fill out this field.
  
  Date of First Reconciliation Please enter a date.
  
  Church of Reconciliation Please enter valid data.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Date of Confirmation Please enter a date.
  
  Church of Confirmation Please enter valid data.
  
  Photo Release: I give my permission to St. Clare of Montefalco Parish to photograph and video record my child at religious eduction classes. I give permission to copyright, use, and publish the photographs and video for any lawful purpose, including newspaper articles, church publications, church website and church (parish) social media sites.
  
  Photo Release REQUIRED Yes - You can use my child photo No - Permission denied Please fill out this field.
  
  Pick-up Policy: If someone other than the parent(s) listed on the form is authorized to pick up your child please provide their name(s) below. Please come to the carport door to drop off and pick up your child in the grades first through fourth.
  
  Name(s) of adults authorized to pick up your child
  
  May the non-custodial parent pick you your child? Yes No
  
  If yes, please provide his/her name. Please enter valid data.
  
  My child has permission to walk home REQUIRED Yes No Please fill out this field.
  
  Student 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.
  
  Select Class Day/Time (All are in-person for 2021-2022) REQUIRED Sunday Family - 9:00 AM (Mass) - 11:30 AM Monday - 4:00-5:15 PM (grades 1-4) Monday - 6:30-7:45 PM (grade 5-8) Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade (if grade 8 please list school attending) REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Male Female
  
  Baptism/Catholic (copy of certificate will be needed) REQUIRED Yes No Please fill out this field.
  
  Date of Baptism Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  Eucharist REQUIRED Yes No Please fill out this field.
  
  Date of First Communion Please enter a date.
  
  Church of First Communion Please enter valid data.
  
  Penance REQUIRED Yes No Please fill out this field.
  
  Date of First Reconciliation Please enter a date.
  
  Church of Reconciliation Please enter valid data.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Date of Confirmation Please enter a date.
  
  Church of Confirmation Please enter valid data.
  
  Photo Release: I give my permission to St. Clare of Montefalco Parish to photograph and video record my child at religious eduction classes. I give permission to copyright, use, and publish the photographs and video for any lawful purpose, including newspaper articles, church publications, church website and church (parish) social media sites.
  
  Photo Release REQUIRED Yes - You can use my child photo No - Permission denied Please fill out this field.
  
  Pick-up Policy: If someone other than the parent(s) listed on the form is authorized to pick up your child please provide their name(s) below. Please come to the carport door to drop off and pick up your child in the grades first through fourth.
  
  Name(s) of adults authorized to pick up your child
  
  May the non-custodial parent pick you your child? Yes No
  
  If yes, please provide his/her name. Please enter valid data.
  
  My child has permission to walk home REQUIRED Yes No Please fill out this field.
  
  Student 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.
  
  Select Class Day/Time (All are in-person for 2021-2022) REQUIRED Sunday Family - 9:00 AM (Mass) - 11:30 AM Monday - 4:00-5:15 PM (grades 1-4) Monday - 6:30-7:45 PM (grade 5-8) Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade (if grade 8 please list school attending) REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Male Female
  
  Baptism/Catholic (copy of certificate will be needed) REQUIRED Yes No Please fill out this field.
  
  Date of Baptism Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  Eucharist REQUIRED Yes No Please fill out this field.
  
  Date of First Communion Please enter a date.
  
  Church of First Communion Please enter valid data.
  
  Penance REQUIRED Yes No Please fill out this field.
  
  Date of First Reconciliation Please enter a date.
  
  Church of Reconciliation Please enter valid data.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Date of Confirmation Please enter a date.
  
  Church of Confirmation Please enter valid data.
  
  Photo Release: I give my permission to St. Clare of Montefalco Parish to photograph and video record my child at religious eduction classes. I give permission to copyright, use, and publish the photographs and video for any lawful purpose, including newspaper articles, church publications, church website and church (parish) social media sites.
  
  Photo Release REQUIRED Yes - You can use my child photo No - Permission denied Please fill out this field.
  
  Pick-up Policy: If someone other than the parent(s) listed on the form is authorized to pick up your child please provide their name(s) below. Please come to the carport door to drop off and pick up your child in the grades first through fourth.
  
  Name(s) of adults authorized to pick up your child
  
  May the non-custodial parent pick you your child? Yes No
  
  If yes, please provide his/her name. Please enter valid data.
  
  My child has permission to walk home REQUIRED Yes No Please fill out this field.
  
  Student 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.
  
  Select Class Day/Time (All are in-person for 2021-2022) REQUIRED Sunday Family - 9:00 AM (Mass) - 11:30 AM Monday - 4:00-5:15 PM (grades 1-4) Monday - 6:30-7:45 PM (grade 5-8) Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade (if grade 8 please list school attending) REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Male Female
  
  Baptism/Catholic (copy of certificate will be needed) REQUIRED Yes No Please fill out this field.
  
  Date of Baptism Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  Eucharist REQUIRED Yes No Please fill out this field.
  
  Date of First Communion Please enter a date.
  
  Church of First Communion Please enter valid data.
  
  Penance REQUIRED Yes No Please fill out this field.
  
  Date of First Reconciliation Please enter a date.
  
  Church of Reconciliation Please enter valid data.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Date of Confirmation Please enter a date.
  
  Church of Confirmation Please enter valid data.
  
  Photo Release: I give my permission to St. Clare of Montefalco Parish to photograph and video record my child at religious eduction classes. I give permission to copyright, use, and publish the photographs and video for any lawful purpose, including newspaper articles, church publications, church website and church (parish) social media sites.
  
  Photo Release REQUIRED Yes - You can use my child photo No - Permission denied Please fill out this field.
  
  Pick-up Policy: If someone other than the parent(s) listed on the form is authorized to pick up your child please provide their name(s) below. Please come to the carport door to drop off and pick up your child in the grades first through fourth.
  
  Name(s) of adults authorized to pick up your child
  
  May the non-custodial parent pick you your child? Yes No
  
  If yes, please provide his/her name. Please enter valid data.
  
  My child has permission to walk home REQUIRED Yes No Please fill out this field.
  
  Student Name 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Select Class Day/Time (All are in-person for 2021-2022) REQUIRED Sunday Family - 9:00 AM (Mass) - 11:30 AM Monday - 4:00-5:15 PM (grades 1-4) Monday - 6:30-7:45 PM (grade 5-8) Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade (if grade 8 please list school attending) REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Male Female
  
  Baptism/Catholic (copy of certificate will be needed) REQUIRED Yes No Please fill out this field.
  
  Date of Baptism Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  Eucharist REQUIRED Yes No Please fill out this field.
  
  Date of First Communion Please enter a date.
  
  Church of First Communion Please enter valid data.
  
  Penance REQUIRED Yes No Please fill out this field.
  
  Date of First Reconciliation Please enter a date.
  
  Church of Reconciliation Please enter valid data.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Date of Confirmation Please enter a date.
  
  Church of Confirmation Please enter valid data.
  
  Photo Release: I give my permission to St. Clare of Montefalco Parish to photograph and video record my child at religious eduction classes. I give permission to copyright, use, and publish the photographs and video for any lawful purpose, including newspaper articles, church publications, church website and church (parish) social media sites.
  
  Photo Release REQUIRED Yes - You can use my child photo No - Permission denied Please fill out this field.
  
  Pick-up Policy: If someone other than the parent(s) listed on the form is authorized to pick up your child please provide their name(s) below. Please come to the carport door to drop off and pick up your child in the grades first through fourth.
  
  Name(s) of adults authorized to pick up your child
  
  May the non-custodial parent pick you your child? Yes No
  
  If yes, please provide his/her name. Please enter valid data.
  
  My child has permission to walk home REQUIRED Yes No Please fill out this field.
  
  Student Name 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Select Class Day/Time (All are in-person for 2021-2022) REQUIRED Sunday Family - 9:00 AM (Mass) - 11:30 AM Monday - 4:00-5:15 PM (grades 1-4) Monday - 6:30-7:45 PM (grade 5-8) Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade (if grade 8 please list school attending) REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Male Female
  
  Baptism/Catholic (copy of certificate will be needed) REQUIRED Yes No Please fill out this field.
  
  Date of Baptism Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  Eucharist REQUIRED Yes No Please fill out this field.
  
  Date of First Communion Please enter a date.
  
  Church of First Communion Please enter valid data.
  
  Penance REQUIRED Yes No Please fill out this field.
  
  Date of First Reconciliation Please enter a date.
  
  Church of Reconciliation Please enter valid data.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Date of Confirmation Please enter a date.
  
  Church of Confirmation Please enter valid data.
  
  Photo Release: I give my permission to St. Clare of Montefalco Parish to photograph and video record my child at religious eduction classes. I give permission to copyright, use, and publish the photographs and video for any lawful purpose, including newspaper articles, church publications, church website and church (parish) social media sites.
  
  Photo Release REQUIRED Yes - You can use my child photo No - Permission denied Please fill out this field.
  
  Pick-up Policy: If someone other than the parent(s) listed on the form is authorized to pick up your child please provide their name(s) below. Please come to the carport door to drop off and pick up your child in the grades first through fourth.
  
  Name(s) of adults authorized to pick up your child
  
  May the non-custodial parent pick you your child? Yes No
  
  If yes, please provide his/her name. Please enter valid data.
  
  My child has permission to walk home REQUIRED Yes No Please fill out this field.
  
  Student Name 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Select Class Day/Time (All are in-person for 2021-2022) REQUIRED Sunday Family - 9:00 AM (Mass) - 11:30 AM Monday - 4:00-5:15 PM (grades 1-4) Monday - 6:30-7:45 PM (grade 5-8) Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade (if grade 8 please list school attending) REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Male Female
  
  Baptism/Catholic (copy of certificate will be needed) REQUIRED Yes No Please fill out this field.
  
  Date of Baptism Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  Eucharist REQUIRED Yes No Please fill out this field.
  
  Date of First Communion Please enter a date.
  
  Church of First Communion Please enter valid data.
  
  Penance REQUIRED Yes No Please fill out this field.
  
  Date of First Reconciliation Please enter a date.
  
  Church of Reconciliation Please enter valid data.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Date of Confirmation Please enter a date.
  
  Church of Confirmation Please enter valid data.
  
  Photo Release: I give my permission to St. Clare of Montefalco Parish to photograph and video record my child at religious eduction classes. I give permission to copyright, use, and publish the photographs and video for any lawful purpose, including newspaper articles, church publications, church website and church (parish) social media sites.
  
  Photo Release REQUIRED Yes - You can use my child photo No - Permission denied Please fill out this field.
  
  Pick-up Policy: If someone other than the parent(s) listed on the form is authorized to pick up your child please provide their name(s) below. Please come to the carport door to drop off and pick up your child in the grades first through fourth.
  
  Name(s) of adults authorized to pick up your child
  
  May the non-custodial parent pick you your child? Yes No
  
  If yes, please provide his/her name. Please enter valid data.
  
  My child has permission to walk home REQUIRED Yes No Please fill out this field.
  
  Student Name 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Select Class Day/Time (All are in-person for 2021-2022) REQUIRED Sunday Family - 9:00 AM (Mass) - 11:30 AM Monday - 4:00-5:15 PM (grades 1-4) Monday - 6:30-7:45 PM (grade 5-8) Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Grade (if grade 8 please list school attending) REQUIRED Please fill out this field. Please enter valid data.
  
  Gender Male Female
  
  Baptism/Catholic (copy of certificate will be needed) REQUIRED Yes No Please fill out this field.
  
  Date of Baptism Please enter a date.
  
  Church of Baptism Please enter valid data.
  
  Eucharist REQUIRED Yes No Please fill out this field.
  
  Date of First Communion Please enter a date.
  
  Church of First Communion Please enter valid data.
  
  Penance REQUIRED Yes No Please fill out this field.
  
  Date of First Reconciliation Please enter a date.
  
  Church of Reconciliation Please enter valid data.
  
  Confirmation REQUIRED Yes No Please fill out this field.
  
  Date of Confirmation Please enter a date.
  
  Church of Confirmation Please enter valid data.
  
  Photo Release: I give my permission to St. Clare of Montefalco Parish to photograph and video record my child at religious eduction classes. I give permission to copyright, use, and publish the photographs and video for any lawful purpose, including newspaper articles, church publications, church website and church (parish) social media sites.
  
  Photo Release REQUIRED Yes - You can use my child photo No - Permission denied Please fill out this field.
  
  Pick-up Policy: If someone other than the parent(s) listed on the form is authorized to pick up your child please provide their name(s) below. Please come to the carport door to drop off and pick up your child in the grades first through fourth.
  
  Name(s) of adults authorized to pick up your child
  
  May the non-custodial parent pick you your child? Yes No
  
  If yes, please provide his/her name. Please enter valid data.
  
  My child has permission to walk home REQUIRED Yes No Please fill out this field.
  
  Additional Comments
  
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- Contact Us
  
  Parish Office
  
  313-647-5000
  secretarystclarem.org
  Facebook Twitter Website Instagram
  
  Sr. Kathy Avery, OSM
  
  Director of Religious Education
  
  313-647-5110
  skaverystclarem.org

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