Children's Catechism Sign Up

Fill out the form below and Liz Slaten, the Catechism Coordinator will be in contact with you soon! You can also send an email to catechismatlourdes@gmail.com with any questions you may have. 

Parent Information
*Required
Mother's Name *
Mother's Name
Father's Name *
Father's Name
Home Address *
Home Address
Home Telephone
Home Telephone
Parent Cell Phone *
Parent Cell Phone
Name of Stepparent and/or Legal Guardian if different from above:
Name of Stepparent and/or Legal Guardian if different from above:
Address of Stepparent and/or Legal Guardian:
Address of Stepparent and/or Legal Guardian:
Family Information
Please complete the family information listing all of the children in your family
Child's Name *
Child's Name
Date of Birth *
Date of Birth
This child has received the following sacraments: *
(please check all that apply)
Child's Name
Child's Name
Date of Birth
Date of Birth
This child has received the following sacraments:
(please check all that apply)
Child's Name
Child's Name
Date of Birth
Date of Birth
This child has received the following sacraments:
(Please check all that apply)
Child's Name
Child's Name
Date of Birth
Date of Birth
This child has received the following sacraments:
(Please check all that apply)
Emergency Information
In case of an accident or serious illness Our Lady of Lourdes will first contact a parent. Persons other than a parent to be notified in an emergency when parents are unavailable should be listed below: