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RE-Registration Form

Child's Information
Registering Year?
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Title
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Full Legal Name
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As on Birth Certificate
Suffix
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Nickname
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Address
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Date of Birth //
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Place of Birth
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Gender
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Religion
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Grade
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School
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School, Other
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Sacraments Received
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Baptism Church/City/St
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Communion Church/City/St
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Confirmation Church/City/St
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What Mass do you/your family attend?
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Special Needs Information
List any educational or behavioral needs (e.g. gifted, dyslexic, ADD, slow reader, IEP, etc.
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Parent/Guardian Information
Title
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Parent/Guardian Name
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Nickname
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Parent/Guardian Email
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Parent/Guardian Cell Phone --
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Home Phone --
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Address (if different from Child)
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If not Parent, Relationship to Child
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Title
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Parent/Guardian Name
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Suffix
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Nickname
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Parent/Guardian E-mail
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Parent/Guardian Cell Phone --
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Address (if different from Child)
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If not Parent, Relationship to the Child
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Is the marriage blessed by a Priest?
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If married civilly or if marriage is not recognized by the Catholic Church, would you like your marriage blessed?
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Are the parents married?
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Pick-Up Authorization
Please list below those who are authorized by ou to pick-up your child from class.
Name
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Phone --
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Relationship to Child
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Name
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Phone --
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Relationship to Child
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Volunteer Opportunities
Volunteer Options
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Electronic Signature
I understand that by becoming a member of the St. Patrick Community, I am called to: (1) Attend Mass Regularly at this parish. (2) Use my Sunday collection envelopes or contribute Online. (3) Support the Ministries of my parish.
Electronic Signature
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Online Giving If you would like more information on Online Giving, please click on the Online Giving Icon at the bottom of the home page or the Online Giving Tab at the top of this page. If you have any questions about Online Giving that cannot be answered on this website, please feel free to call the office at 361-855-7351.
Submitting this Form This form will not be sent to the office unless you click on the SUBMIT button at the bottom of this page.
Other Information
Fees
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Payment Options
*You can mail Registration Form and Fee to Religious Education, 3350 S. Alameda St., Corpus Christi, TX 78411.
*You can place the Registration form and Fee in an envelope in the Mail Slot located at the bottom right hand side of the Rectory door.
*Registration form may be sent electronically here and Fees can be paid online by going to the St. Patrick Website at www.stpatrickchurchcc.org. Click on the ONLINE GIVING icon at the bottom of the page or the Online Giving Tab at the top of the page. If you do not have an Online Giving account, you will need to create one or click on Quick Give.
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Online Giving

Online Giving

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