Office-Registration

OFFICE REGISTRATION FORM

2024-2025

St. Patrick's - St. Mary's
Parish Religious Education Program
Newburgh, NY

Student:

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Class Choice REQUIRED Tuesday English (5:00pm - 6:15pm) Wednesday English (5:00pm - 6:15pm) Saturday English (9:30am - 11:00am) Saturday Spanish (11:30am - 1:00pm) Wednesday Spanish (5:00pm - 6:15pm) Sunday Confirmation (1:00pm - 6:00pm) Please fill out this field.

Registration for Grade REQUIRED 1st 2nd 3rd 4th 5th 6th 7th Confirmation Special Needs Please fill out this field.

Parent for Text Notifications

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

We use Flocknote to communicate with parents to notify them of any class updates.
Please provide the cell number of the parent that will be receiving these text notifications.

Cell Number for Messaging REQUIRED Please fill out this field. Please enter a phone number.

Date Submitted REQUIRED Please fill out this field. Please enter a date.