Family Religious Education Enrollment

New Child Registration Form

Parents, you can use this form to register a child who is new to Family Religious Education programs at St. Monica. If your child is a returning student, please use our Returning Child Registration Form.

If you have any questions, please call Natalie Hoskins at (310) 566-1587.

Family Information

Please fill out all form fields.

Family Last Name:

Street Address Line 1:
Street Address Line 2:
City, State, Zip:

Home Phone:
Business Phone:
Cell Phone:

Your Email:
A valid email address is required.

Father's Name:
First and middle names.

Mother's Name:
First, middle, and maiden names.

Child lives with? Parents Father Mother Step-Parent Other

Father's Religion:
Mother's Religion:
Other Relative's Religion:

Child's Information

Name:
First, middle, and last.

Preferred Name:

Grade Level for 2008-2009:
School Name and City:

Date of Birth:
Age on October 7, 2008:
Birth City, State, Country:

Any medical precautions?
Maximum length is
500 characters.

Any special needs or concerns?
Maximum length is
500 characters.

Child's Sacramental History

Please tell us if your child has received the following sacraments.

Baptism? Yes No
Date Completed:
Church, City, State:

Reconciliation? Yes No
Date Completed:
Church, City, State:

First Communion? Yes No
Date Completed:
Church, City, State:

Confirmation? Yes No
Date Completed:
Church, City, State:

Class Enrollment

Religious Education Class:

Children's Choir Yes No

Households of Faith Yes No

Additional Information for Bible Camp Registrants

T-Shirt Size:
C = Child Size | A = Adult Size C-S C-M A-S A-M A-L A-XL

Emergency Information. Additional emergency contact information is required for Bible Camp registrants. Information provided in the areas below needs to be accurate for the period of 9:00 a.m. to 3:00 p.m.

#1 Emergency Contact:
#2 Emergency Contact:
#3 Emergency Contact:
#4 Emergency Contact:

Things You Need To Send to St. Monica

Please read and follow the instructions below. All of these items must be completed as required, and submitted to the Director of Religious Education in order for enrollment to be complete. Please send all required items to:

Family Religious Education
St. Monica Catholic Community
725 California Avenue, Santa Monica, CA 90403

1.) Baptismal Certificate. If your child is baptized, a copy of your child's baptismal certificate must be submitted for our records.

2.) Media Release. Click to download and complete the Media Release form. This must be submitted.

3.) Safeguard the Children Booklet. Click to download and read the Safeguard the Children booklet.

4.) Teaching Touching Safety Permission Slip. Click to download and complete the Teaching Touching Saftey Permission Slip form. If you do not wish for you child to participate in this course, you must fill out the Opt-Out Form for Teaching Touching Safety.

5.) Early Childhood Registrants. A payment of $125 is required for Early Childhood registration. A child is not considered enrolled until this payment is received. This payment is non-refundable. Please make checks payable to St. Monica Church.

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Check Your Information

Please verify that the you have completed all areas of this form, and that the information you have provided is correct. If you are satisfied with the information you have provided and are ready to send this registration form, just click the Send button below.

Click Send: