Sacred Heart Catholic Church

1210 17-1/2 Road, Fruita, CO 81521

970-858-9605
Office Hours: Monday - Thursday, 9:30am - Noon and 1:00pm - 3:30pm

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Rel Ed Registration 2022-2023

- Youth

Sacred Heart Pre-K - 12 Religious Education Registration Form

Registration Fee: $45 per student with a $100 cap for families.

Scholarships/financial help is available.

A copy of a Baptism certificate is required for those preparing for a Sacrament. The name and complete address of the Baptismal church is required on the form below for those preparing for a Sacrament.

Click this link if you wish to pay your Religious Education fees securely on-line. Then select "Give Now", in the dropdown box under "Choose a designation" select "Religious Ed Fees Pre-K thru Grade 12".
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- Date of Registration REQUIRED Please fill out this field. Please enter a date.
- Family Last Name REQUIRED Please fill out this field. Please enter valid data.
- Father/Guardian First Name REQUIRED Please fill out this field. Please enter valid data.
- Father's Email Please enter valid data.
- Mother's First Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Maiden Name REQUIRED Please fill out this field. Please enter valid data.
- Mother's Email Please enter valid data.
- Street 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.
- Father's Cell: REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Mother's Cell Maximum 20 characters Please enter a phone number.
- Email Address Please enter valid data.
- Emergency Contact Full Name REQUIRED Please fill out this field. Please enter valid data.
- Emergency Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Both Parents Catholic?
- Number of Children you are Registering REQUIRED Please fill out this field.
  
  Child Registration 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Catholic? REQUIRED Please fill out this field.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism: Where & When Please enter valid data.
  
  Certificate on file? Yes No
  
  First Eucharist: Where & When Please enter valid data.
  
  Religious Ed Grade REQUIRED Pre-K thru 4 Middle School (5th - 7th grade) High School (8 - 12th grade) Confirmation Class (1 or 2) Please fill out this field.
  
  Sacramental Prep Needed? REQUIRED Baptism First Communion Confirmation None Please fill out this field.
  
  School Name Please enter valid data.
  
  Student Cell Phone Maximum 20 characters
  See Waiver/Release form for more information regarding the use of minor's cell phone number
  Please enter a phone number.
  
  Email Please enter an email address.
  
  Does this child have any allergies, special needs or on any special medications? Please list all below: REQUIRED Please fill out this field.
  
  Child Registration 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Catholic? REQUIRED Please fill out this field.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism: Where & When Please enter valid data.
  
  Certificate on file? Yes No
  
  First Eucharist: Where & When Please enter valid data.
  
  Religious Ed Grade REQUIRED Pre-K thru 4 Middle School (5th - 7th grade) High School (8 - 12th grade) Confirmation Class (1 or 2) Please fill out this field.
  
  Sacramental Prep Needed? REQUIRED Baptism First Communion Confirmation None Please fill out this field.
  
  School Name Please enter valid data.
  
  Student Cell Phone Maximum 20 characters
  See Waiver/Release form for more information regarding the use of minor's cell phone number
  Please enter a phone number.
  
  Email Please enter an email address.
  
  Does this child have any allergies, special needs or on any special medications? Please list all below: REQUIRED Please fill out this field.
  
  Child Registration 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Catholic? REQUIRED Please fill out this field.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism: Where & When Please enter valid data.
  
  Certificate on file? Yes No
  
  First Eucharist: Where & When Please enter valid data.
  
  Religious Ed Grade REQUIRED Pre-K thru 4 Middle School (5th - 7th grade) High School (8 - 12th grade) Confirmation Class (1 or 2) Please fill out this field.
  
  Sacramental Prep Needed? REQUIRED Baptism First Communion Confirmation None Please fill out this field.
  
  School Name Please enter valid data.
  
  Student Cell Phone Maximum 20 characters
  See Waiver/Release form for more information regarding the use of minor's cell phone number
  Please enter a phone number.
  
  Email Please enter an email address.
  
  Does this child have any allergies, special needs or on any special medications? Please list all below: REQUIRED Please fill out this field.
  
  Child Registration 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Catholic? REQUIRED Please fill out this field.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism: Where & When Please enter valid data.
  
  Certificate on file? Yes No
  
  First Eucharist: Where & When Please enter valid data.
  
  Religious Ed Grade REQUIRED Pre-K thru 4 Middle School (5th - 7th grade) High School (8 - 12th grade) Confirmation Class (1 or 2) Please fill out this field.
  
  Sacramental Prep Needed? REQUIRED Baptism First Communion Confirmation None Please fill out this field.
  
  School Name Please enter valid data.
  
  Student Cell Phone Maximum 20 characters
  See Waiver/Release form for more information regarding the use of minor's cell phone number
  Please enter a phone number.
  
  Email Please enter an email address.
  
  Does this child have any allergies, special needs or on any special medications? Please list all below: REQUIRED Please fill out this field.
  
  Child Registration 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Gender REQUIRED Please fill out this field.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Catholic? REQUIRED Please fill out this field.
  
  Grade REQUIRED Please fill out this field. Please enter valid data.
  
  Baptism: Where & When Please enter valid data.
  
  Certificate on file? Yes No
  
  First Eucharist: Where & When Please enter valid data.
  
  Religious Ed Grade REQUIRED Pre-K thru 4 Middle School (5th - 7th grade) High School (8 - 12th grade) Confirmation Class (1 or 2) Please fill out this field.
  
  Sacramental Prep Needed? REQUIRED Baptism First Communion Confirmation None Please fill out this field.
  
  School Name Please enter valid data.
  
  Student Cell Phone Maximum 20 characters
  See Waiver/Release form for more information regarding the use of minor's cell phone number
  Please enter a phone number.
  
  Email Please enter an email address.
  
  Does this child have any allergies, special needs or on any special medications? Please list all below: REQUIRED Please fill out this field.
- Special custody arrangements or other information: REQUIRED Please fill out this field.
Submit

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