Family and Enroll Student Registration Form

PRE registration for 2017-2018. Visit our web site at www.saintannenlr.org for
 more information.
Click Submit Form to send this information to St. Anne Catholic Church.
*Required fields
Student 1 Type
  Title Suffix
*First Name *Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
*Gender Female   Male Grade/Degree
  Language Marital Status
  Session Lang
Phone Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible
Sacraments
   Baptism Received Date Place
   Reconcil Received Date Place
   1st Comm Received Date Place
   Confirm Received Date Place

  Student Contact 1
  Title   Suffix
  First Name   Last Name
  Relationship   Marital Status
  SessionLang
Address
  Line 1
  Line 2
  City
  State
  ZIP
Phone Numbers
Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
  Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email Address
  Email
Send Email Instead of Mail When Possible
  Student Contact 2
  Title   Suffix
  First Name   Last Name
  Relationship   Marital Status
  SessionLang
Address
  Line 1
  Line 2
  City
  State
  ZIP
Phone Numbers
Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
  Primary ( ) - Unlisted
  Other ( ) - Unlisted
Email Address
  Email
Send Email Instead of Mail When Possible

*Family Option  New Family Information  Update Existing Family Information
       ID/Env:  

Head of Household
  Title Suffix
*First Name *Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
*Gender Female   Male Grade/Degree
  Language Marital Status
  Session Lang
Phone Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible

  Spouse
  Title Suffix
  First Name Last Name
  Middle Name Nickname
  Relationship Maiden Name
  Ethnicity Birth Date
  Gender Female   Male Grade/Degree
  Language Marital Status
  Session Lang
Phone Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
  Phone 1 ( ) - Unlisted
  Phone 2 ( ) - Unlisted
  Email 1 Unlisted
Send Email Instead of Mail When Possible
  Email 2 Unlisted
Send Email Instead of Mail When Possible

Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP

Family Phone Numbers
Note: If you would like to receive a text message when your parish sends a quick communication, select your provider from the Description drop-down list. Standard text messaging rates apply.
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Family Email Address
*Email Unlisted
Send Email Instead of Mail When Possible


Click Submit Form to send this information to St. Anne Catholic Church.
St. Anne Catholic Church