Religious Ed

This registration form is for the following:

Children's Religious Education (Children up to 5th Grade)
Youth Group (Youth in 6th through 12th Grade)

Family Information

Adult/Parent/Guardian First & Last Name REQUIRED Please fill out this field. Please enter valid data.

Relation to child(ren) REQUIRED Please fill out this field. Please enter valid data.

Address REQUIRED Please fill out this field. 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.

Preferred method of communication REQUIRED Call Email Text Please fill out this field.

Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Is this a cell number? REQUIRED Yes No Please fill out this field.

Email Address REQUIRED Please fill out this field. Please enter an email address.

Are you registered at St. Pius X parish? REQUIRED Yes No Please fill out this field.

If no, which parish are you registered at?

Are you married? REQUIRED Yes No Please fill out this field.

If so, First and Last Name of your Spouse Please enter valid data.

Child/Youth Information

Please select the number of children you wish to register, and then complete the appropriate info for each child. REQUIRED Please fill out this field.
Child/Youth 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Current School REQUIRED Please fill out this field. Please enter valid data.
- Grade (Beginning in the Fall) REQUIRED Please fill out this field.
- Special Notes (i.e., allergies, medical conditions, special needs, etc.) Please enter valid data.
- Are you enrolling your child to receive any of the following sacraments this year? REQUIRED First Reconciliation & First Holy Communion (2nd grade) Confirmation (9th through 12th grade) NONE Please fill out this field.
Child/Youth 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Current School REQUIRED Please fill out this field. Please enter valid data.
- Grade (Beginning in the Fall) REQUIRED Please fill out this field.
- Special Notes (i.e., allergies, medical conditions, special needs, etc.) Please enter valid data.
- Are you enrolling your child to receive any of the following sacraments this year? REQUIRED First Reconciliation & First Holy Communion (2nd grade) Confirmation (9th through 12th grade) NONE Please fill out this field.
Child/Youth 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Current School REQUIRED Please fill out this field. Please enter valid data.
- Grade (Beginning in the Fall) REQUIRED Please fill out this field.
- Special Notes (i.e., allergies, medical conditions, special needs, etc.) Please enter valid data.
- Are you enrolling your child to receive any of the following sacraments this year? REQUIRED First Reconciliation & First Holy Communion (2nd grade) Confirmation (9th through 12th grade) NONE Please fill out this field.
Child/Youth 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Current School REQUIRED Please fill out this field. Please enter valid data.
- Grade (Beginning in the Fall) REQUIRED Please fill out this field.
- Special Notes (i.e., allergies, medical conditions, special needs, etc.) Please enter valid data.
- Are you enrolling your child to receive any of the following sacraments this year? REQUIRED First Reconciliation & First Holy Communion (2nd grade) Confirmation (9th through 12th grade) NONE Please fill out this field.
Child/Youth 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Current School REQUIRED Please fill out this field. Please enter valid data.
- Grade (Beginning in the Fall) REQUIRED Please fill out this field.
- Special Notes (i.e., allergies, medical conditions, special needs, etc.) Please enter valid data.
- Are you enrolling your child to receive any of the following sacraments this year? REQUIRED First Reconciliation & First Holy Communion (2nd grade) Confirmation (9th through 12th grade) NONE Please fill out this field.
Child/Youth 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Current School REQUIRED Please fill out this field. Please enter valid data.
- Grade (Beginning in the Fall) REQUIRED Please fill out this field.
- Special Notes (i.e., allergies, medical conditions, special needs, etc.) Please enter valid data.
- Are you enrolling your child to receive any of the following sacraments this year? REQUIRED First Reconciliation & First Holy Communion (2nd grade) Confirmation (9th through 12th grade) NONE Please fill out this field.
Child/Youth 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Current School REQUIRED Please fill out this field. Please enter valid data.
- Grade (Beginning in the Fall) REQUIRED Please fill out this field.
- Special Notes (i.e., allergies, medical conditions, special needs, etc.) Please enter valid data.
- Are you enrolling your child to receive any of the following sacraments this year? REQUIRED First Reconciliation & First Holy Communion (2nd grade) Confirmation (9th through 12th grade) NONE Please fill out this field.
Child/Youth 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Current School REQUIRED Please fill out this field. Please enter valid data.
- Grade (Beginning in the Fall) REQUIRED Please fill out this field.
- Special Notes (i.e., allergies, medical conditions, special needs, etc.) Please enter valid data.
- Are you enrolling your child to receive any of the following sacraments this year? REQUIRED First Reconciliation & First Holy Communion (2nd grade) Confirmation (9th through 12th grade) NONE Please fill out this field.
Child/Youth 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Current School REQUIRED Please fill out this field. Please enter valid data.
- Grade (Beginning in the Fall) REQUIRED Please fill out this field.
- Special Notes (i.e., allergies, medical conditions, special needs, etc.) Please enter valid data.
- Are you enrolling your child to receive any of the following sacraments this year? REQUIRED First Reconciliation & First Holy Communion (2nd grade) Confirmation (9th through 12th grade) NONE Please fill out this field.
Child/Youth 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.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Male Female Please fill out this field.
- Current School REQUIRED Please fill out this field. Please enter valid data.
- Grade (Beginning in the Fall) REQUIRED Please fill out this field.
- Special Notes (i.e., allergies, medical conditions, special needs, etc.) Please enter valid data.
- Are you enrolling your child to receive any of the following sacraments this year? REQUIRED First Reconciliation & First Holy Communion (2nd grade) Confirmation (9th through 12th grade) NONE Please fill out this field.

Media Release (Please read and mark below)

By signing below, I do hereby permit that a photo, audio, or video recording of any member of my family, including myself and my child(ren) or work product created by him/her, may be used or published by St. Pius X Catholic Church and/or the Diocese of Boise for promotional and informational purposes, to its parishioners and the greater community. Media used may include, but are not limited to, parish/diocesan website, social media (Facebook, Weekly Messenger), newsletters, diocesan newspaper (Idaho Catholic Register), or other related media or materials created by the Parish/Diocese.

I Agree Please select this field.

Permission Release (Please read and mark below)

By signing below, I do hereby permit my child(ren) to participate in Family Faith Formation at St. Pius X Catholic Church. I agree to hold the Diocese of Boise, St. Pius X parish staff, and the supporting lay apostolate free from liability for any illness or injury that might be incurred by my child(ren) during these events. Should any injury occur, I hereby permit my child(ren) to receive treatment from a physician to be selected by a St. Pius X staff member if he/she is unable to reach me or my family physician.

I Agree Please select this field.

By signing below, I understand that St. Pius X parish, staff, and the supporting lay apostolate are not responsible for my child(ren)'s transportation to and from Family Faith Formation events held at St. Pius X; nor is St. Pius X parish, staff, or the supporting lay apostolate, responsible for my child(ren) should they leave the immediate area where the event is taking place or choose to stay after an event has taken place.

I Agree Please select this field.

Comments & Concerns

Please let us know if there is any other information you would like the parish to know about your family.

Contribution Information / Parish Expense

Family Faith Formation

We thank you for your ongoing generosity and look forward to journeying with you as we encounter Jesus Christ in the life and ministry of the Church! The anticipated cost of Family Faith Formation is approximately $25 per child. Based on the size of your family, please prayerfully discern the amount of the registration fee you are able to pay to help cover the costs of our Family Faith Formation program. Anything you donate above and beyond helps support those in need and the work of the parish.
Suggested Registration Fee: $25 per child
Registration Payment REQUIRED $ Please fill out this field. Please enter a positive decimal.

St. Pius X CATHOLIC Church

Coeur d'Alene, ID