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

Parish Affiliation REQUIRED Please fill out this field.

Other Parish Affiliation Please enter valid data.

Home Address REQUIRED Please fill out this field.

Primary Phone REQUIRED Please fill out this field. Please enter valid data.

Primary Email REQUIRED Please fill out this field. Please enter valid data.

Father's Name Please enter valid data.

Father's Cell Phone (if different from primary) Please enter valid data.

Father's Email (if different from primary) Please enter valid data.

Mother's Name Please enter valid data.

Mother's Cell Phone (if different from primary) Please enter valid data.

Mother's Email (if different from primary) Please enter valid data.

Emergency Contact

Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Relationship to CHILD REQUIRED Grandparent Sibling Aunt/Uncle Family Friend Other Relative (specify below) Please fill out this field.

Relationship to CHILD Other, Please Specify: Please enter valid data.

Emergency Contact Address REQUIRED Please fill out this field.

Emergency Contact Primary Phone Please enter valid data.

Emergency Contact Secondary Phone (if applicable) Please enter valid data.

Emergency Contact Email Address Please enter valid data.

Number of Children to Register REQUIRED Please fill out this field.
Child 1
- Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Previously Received Baptism Reconciliation Holy Communion Confirmation
- Grade Level for 2022-2023 School Year
- School Attending for 2022-2023 School Year Please enter valid data.
- Special Educational Consideration Please enter valid data.
- Allergies/Medical Considerations No Yes, please specify
- Special Medical Considerations Please enter valid data.
- May we post activity photos of your child? Yes No
Child 2
- Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Previously Received Baptism Reconciliation Holy Communion Confirmation
- Grade Level for 2022-2023 School Year
- School Attending for 2022-2023 School Year Please enter valid data.
- Special Educational Consideration Please enter valid data.
- Allergies/Medical Considerations No Yes, please specify
- Special Medical Considerations Please enter valid data.
- May we post activity photos of your child? Yes No
Child 3
- Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Previously Received Baptism Reconciliation Holy Communion Confirmation
- Grade Level for 2022-2023 School Year
- School Attending for 2022-2023 School Year Please enter valid data.
- Special Educational Consideration Please enter valid data.
- Allergies/Medical Considerations No Yes, please specify
- Special Medical Considerations Please enter valid data.
- May we post activity photos of your child? Yes No
Child 4
- Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Previously Received Baptism Reconciliation Holy Communion Confirmation
- Grade Level for 2022-2023 School Year
- School Attending for 2022-2023 School Year Please enter valid data.
- Special Educational Consideration Please enter valid data.
- Allergies/Medical Considerations No Yes, please specify
- Special Medical Considerations Please enter valid data.
- May we post activity photos of your child? Yes No
Child 5
- Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Previously Received Baptism Reconciliation Holy Communion Confirmation
- Grade Level for 2022-2023 School Year
- School Attending for 2022-2023 School Year Please enter valid data.
- Special Educational Consideration Please enter valid data.
- Allergies/Medical Considerations No Yes, please specify
- Special Medical Considerations Please enter valid data.
- May we post activity photos of your child? Yes No
Child 6
- Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Previously Received Baptism Reconciliation Holy Communion Confirmation
- Grade Level for 2022-2023 School Year
- School Attending for 2022-2023 School Year Please enter valid data.
- Special Educational Consideration Please enter valid data.
- Allergies/Medical Considerations No Yes, please specify
- Special Medical Considerations Please enter valid data.
- May we post activity photos of your child? Yes No
Child 7
- Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Previously Received Baptism Reconciliation Holy Communion Confirmation
- Grade Level for 2022-2023 School Year
- School Attending for 2022-2023 School Year Please enter valid data.
- Special Educational Consideration Please enter valid data.
- Allergies/Medical Considerations No Yes, please specify
- Special Medical Considerations Please enter valid data.
- May we post activity photos of your child? Yes No
Child 8
- Name REQUIRED Please fill out this field. Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter valid data.
- Sacraments Previously Received Baptism Reconciliation Holy Communion Confirmation
- Grade Level for 2022-2023 School Year
- School Attending for 2022-2023 School Year Please enter valid data.
- Special Educational Consideration Please enter valid data.
- Allergies/Medical Considerations No Yes, please specify
- Special Medical Considerations Please enter valid data.
- May we post activity photos of your child? Yes No

St. Isidore the farmer Pastorate

Fr. Richard Weisenberger Pastor & Fr. Peter Vanderkolk Sr., Associate

Registration 2022-2023

Religious Education Registration
2022-2023 School Year

Emergency Contact