Religious Education Registration - St. Mary

Skip to content

(321) 636-6834

|

1136 Seminole Dr., Rockledge FL 32955

|

info@stmaryrockledge.org

Search for:

Home
About
Bulletin
- Bulletin Request
- News and Upcoming Events
  - Theology of the Body
Sacraments
Faith Formation
Ministry
School
- St. Mary Catholic
- Melbourne Central Catholic
  - MCC Scholarship Application
Giving
Spiritual Enrichment
Theology of the Body

Search for:

Religious Education Registration

1Child(ren) Information

2Contact Information

How many children registering?*
- One child
- Two children
- Three children
- Four children
- Five children
- Six children
First child information
Name*
First Middle Last
Date of Birth*
MM slash DD slash YYYY
Birth Place*
City State / Province / Region
Age*
Grade*
Registering for:*
- Sunday School
- RCIA
- Youth Ministry (Middle School)
- Youth Ministry (High School)
Church of Baptism*
Address*
City State / Province / Region Country
Denomination*
- Catholic
Father's Name*
First Last
Mother's Name*
First Last
Is there anything we should know about your child?
Will this child prepare for any Sacraments this year?*
- No
- RCIA
- Baptism
- First Communion/Reconciliation
- Confirmation
Second Child Information
Name*
First Middle Last
Date of Birth*
MM slash DD slash YYYY
Birth Place*
City State / Province / Region
Age*
Grade*
Registering for:*
- Sunday School
- RCIA
- Youth Ministry (Middle School)
- Youth Ministry (High School)
Church of Baptism*
Address*
City State / Province / Region Country
Denomination*
- Catholic
Father's Name*
First Last
Mother's Name*
First Last
Is there anything we should know about your child?
Will this child prepare for any Sacraments this year?*
- No
- RCIA
- Baptism
- First Communion/Reconciliation
- Confirmation
Third Child Information
Name*
First Middle Last
Date of Birth*
MM slash DD slash YYYY
Birth Place*
City State / Province / Region
Age*
Grade*
Registering for:*
- Sunday School
- RCIA
- Youth Ministry (Middle School)
- Youth Ministry (High School)
Church of Baptism*
Address*
City State / Province / Region Country
Denomination*
- Catholic
Father's Name*
First Last
Mother's Name*
First Last
Is there anything we should know about your child?
Will this child prepare for any Sacraments this year?*
- No
- RCIA
- Baptism
- First Communion/Reconciliation
- Confirmation
Fourth Child Information
Name*
First Middle Last
Date of Birth*
MM slash DD slash YYYY
Birth Place*
City State / Province / Region
Age*
Grade*
Registering for:*
- Sunday School
- RCIA
- Youth Ministry (Middle School)
- Youth Ministry (High School)
Church of Baptism*
Address*
City State / Province / Region Country
Denomination*
- Catholic
Father's Name*
First Last
Mother's Name*
First Last
Is there anything we should know about your child?
Will this child prepare for any Sacraments this year?*
- No
- RCIA
- Baptism
- First Communion/Reconciliation
- Confirmation
Fifth Child Information
Name*
First Middle Last
Date of Birth*
MM slash DD slash YYYY
Birth Place*
City State / Province / Region
Age*
Grade*
Registering for:*
- Sunday School
- RCIA
- Youth Ministry (Middle School)
- Youth Ministry (High School)
Church of Baptism*
Address*
City State / Province / Region Country
Denomination*
- Catholic
Father's Name*
First Last
Mother's Name*
First Last
Is there anything we should know about your child?
Will this child prepare for any Sacraments this year?*
- No
- RCIA
- Baptism
- First Communion/Reconciliation
- Confirmation
Sixth Child Information
Name*
First Middle Last
Date of Birth*
MM slash DD slash YYYY
Birth Place*
City State / Province / Region
Age*
Grade*
Registering for:*
- Sunday School
- RCIA
- Youth Ministry (Middle School)
- Youth Ministry (High School)
Church of Baptism*
Address*
City State / Province / Region Country
Denomination*
- Catholic
Father's Name*
First Last
Mother's Name*
First Last
Is there anything we should know about your child?
Will this child prepare for any Sacraments this year?*
- No
- RCIA
- Baptism
- First Communion/Reconciliation
- Confirmation

Contact Information
Primary phone*
Secondary phone
Email*
Enter Email Confirm Email
Emergency Contact Name*
First Last
Emergency Contact Phone*
Relationship to child(ren)*
Who is authorized to pick up child(ren)?*
Signature*
I understand this is a legal representation of my signature.
Printed Name*
First Last
Date of signature*
MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.

Contact Us

1136 Seminole Dr. Rockledge, FL 32955

Quick Links

Online Giving Livestream Safe Environment Training ibreviary USCCB Daily Readings USCCB Lecturas Diarias Catholic Charities Florida Conference of Catholic Bishops Catechism of the Catholic Church The Burrowshire Podcast

© 2022 St. Mary | Rockledge, FL Built with ♥ Diocesan