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2569 W. Victoria Drive, Alpine, CA 91901

Queen of Angels Parish

Religious Education Registration

2569 Victoria Dr, Alpine, CA 91901

Family's Last Name*:
Father's Name:
Mother's Name:
Mother's Maiden:
Custodial Parent:If different from above
Date*:
Home Phone:
Mom/Dad Work/Cell*:
Emergency Contact*:
Email*:
Home Address*:
Both Parents Catholic?:YesNo
Child*
Birth Date*
Sex*
Grade*
Sacrament and Date:
Baptism Baptism
Catholic? Catholic
Eucharist Eucharist
Penance Penance
Confirmation Confirmation
Special Needs: medical, learning disabilities, physical disabilities:
Child
Birth Date
Sex
Grade
Sacrament and Date:
Baptism Baptism
Catholic? Catholic
Eucharist Eucharist
Penance Penance
Confirmation Confirmation
Special Needs: medical, learning disabilities, physical disabilities:
Child
Birth Date
Sex
Grade
Sacrament and Date:
Baptism Baptism
Catholic? Catholic
Eucharist Eucharist
Penance Penance
Confirmation Confirmation
Special Needs: medical, learning disabilities, physical disabilities: :
Child
Birth Date
Sex
Grade
Sacrament and Date:
Baptism Baptism
Catholic? Catholic
Eucharist Eucharist
Penance Penance
Confirmation Confirmation
Special Needs: medical, learning disabilities, physical disabilities: :
NOTE: If any of your children were baptized outside of this parish, and you have not already supplied us with a copy of each child's baptismal record, you will need to supply a copy for our files.