Religious Education / VBS Registration Form

GENERAL INFORMATION

Which Parish's Religious Education program would you like to be registered for? REQUIRED St. Jude Thaddeus (Burkburnett) Christ the King (Iowa Park) and St. Paul (Electra) Summer Vacation Bible School (VBS) at St. Jude Thaddeus (Burkburnett) Please fill out this field.
Registration Year: REQUIRED Please fill out this field. Please enter valid data.

PARENTAL INFORMATION

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

Last Name 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.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Email REQUIRED Please fill out this field. Please enter an email address.
Are you interested in volunteering in our Religious Education program?
We are in need of catechists and assistants for our Religious Education program. Please prayerful consider volunteering your talents with us!
Yes No
If yes, have you had your Safe Environment training?
All volunteers are required to attend the program so we can work together to create a safe environment for our children and vulnerable adults. We can assist you setup a time to attend the program online or at the parish.
Yes No

CHILD # 1 INFORMATION

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 valid data.
Place of Birth REQUIRED Please fill out this field. Please enter valid data.
School Year Grade REQUIRED Please fill out this field. Please enter valid data.
VBS T-shirt size
Please list any known food allergies. Please enter valid data.
Sacrament(s) Received:
Please indicate the sacrament(s) your child have received from the Church.
Baptism First Reconciliation and Communion Confirmation

CHILD # 2 INFORMATION

First Name Please enter valid data.

Last Name Please enter valid data.
Date of Birth Please enter valid data.
Place of Birth Please enter valid data.
School Year Grade Please enter valid data.
VBS T-shirt size
Please list any known food allergies. Please enter valid data.
Sacrament(s) Received:
Please indicate the sacrament(s) your child have received from the Church.
Baptism First Reconciliation and Communion Confirmation

CHILD # 3 INFORMATION

First Name Please enter valid data.

Last Name Please enter valid data.
Date of Birth Please enter valid data.
Place of Birth Please enter valid data.
School Year Grade Please enter valid data.
VBS T-shirt size
Please list any known food allergies. Please enter valid data.
Sacrament(s) Received:
Please indicate the sacrament(s) your child have received from the Church.
Baptism First Reconciliation and Communion Confirmation

CHILD # 4 INFORMATION

First Name Please enter valid data.

Last Name Please enter valid data.
Date of Birth Please enter valid data.
Place of Birth Please enter valid data.
School Year Grade Please enter valid data.
VBS T-shirt size
Please list any known food allergies. Please enter valid data.
Sacrament(s) Received:
Please indicate the sacrament(s) your child have received from the Church.
Baptism First Reconciliation and Communion Confirmation

CHILD # 5 INFORMATION

First Name Please enter valid data.

Last Name Please enter valid data.
Date of Birth Please enter valid data.
Place of Birth Please enter valid data.
School Year Grade Please enter valid data.
VBS T-shirt size
Please list any known food allergies. Please enter valid data.
Sacrament(s) Received:
Please indicate the sacrament(s) your child have received from the Church.
Baptism First Reconciliation and Communion Confirmation
Thank you for taking the time to fill out your registration form.

The suggested registration fee for the school year is $20/child or $30/family.
Vacation Bible School program is $10/child or $20/family.

If you have any problem in making the suggested registration fee, please contact the Director of Religious Education for scholarship opportunities and allow us to find an alternative to assist you. We want you to know that no child will be turned away. However, we are also doing our best to provide proper and quality faith formation to our children, and the registration fee helps offset some of the costs and creates some funds for our catechists to buy what is needed for their classes.

We will keep your information confidential. Please let us know if we can be of help for you and your family. God bless you.

St. Jude Thaddeus, Christ the King,
& St. Paul Catholic Churches