Please fill out the required fields. Provide at least one home phone number and one
 emergency contact phone number. If your child has any medical conditions,
 allergies, or medications, please list them.
  Upon completion
 you will be redirected to the emergency medical form. Please complete, print, and
 return this form to the St. Peter parish office or to the Director of Religious
 Education on the first day of class.
 The Student Fee can be paid online via the egiving webpage [https://www.e-
 giving.org/egivinglogin.asp?id=2831] or on the first day of class.
 
 One Student: $25.00
 Family (two or more students): $40.00

Click Submit Form to send this information to St. Peter Church.

*Required fields

Instructions Please select the course that corresponds to your child's grade level.

Student 1   Type  
*First Name *Last Name Suffix
  Middle Name
  Birth Date *Gender Female   Male
Grade/Degree
Sacraments   Name Received Date Place
   Baptism
   Confirmation
   First Communion
*Class Choices
*Class 1
Student Remarks
  General Remarks
  Health Problems
  Other Conditions

*Family Option  New Family Information  Update Existing Family Information ID/Env:  

Head of Household
Title *First Name *Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
  Birth Date *Gender Female   Male
Grade/Degree Marital Status

Spouse
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
  Birth Date   Gender Female   Male
Grade/Degree Marital Status

Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP

Family Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Family Email Address
*Email   Unlisted
Send Email Instead of Mail When Possible


Click Submit Form to send this information to St. Peter Church.