Holy Maternity of Mary
Dowagiac, Michigan

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Religious Education

- Registration form
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  We must have a Student Registration Form on file for each student in the program. Please fill out all fields. If you have any questions, please contact the Director of Religious Education, Melissa Stanger.
  
  We are required to have documentation from the parish in which the Sacraments were received unless they were administered at Holy Maternity of Mary. Please submit baptismal certificates from other parishes to the Director of Religious Education prior to the beginning of classes, if you have not done so already.
  
  Student Information
  
  Student Name REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending REQUIRED Please fill out this field. Please enter valid data.
  
  Grade in School this Year REQUIRED Please fill out this field. Please enter valid data.
  
  CCD Grade Entering REQUIRED Please fill out this field. Please enter valid data.
  
  Sacraments Received
  
  Baptism Parish and City Please enter valid data.
  
  First Communion Parish and City Please enter valid data.
  
  Confirmation Parish and City Please enter valid data.
  
  Parent/Guardian Information
  
  Name of Parent(s)/Guardian(s) REQUIRED Please fill out this field. 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.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email Please enter an email address.
  
  Parish Registration REQUIRED Currently Registered with Holy Maternity of Mary Not registered with Holy Maternity of Mary but would like to be Please fill out this field.
  
  Photography Release
  
  Photography Authorization REQUIRED I give permission for Holy Maternity of Mary employees and volunteers to photograph my child(ren) and use his/her picture solely for the church's website, weekly bulletins, and/or bulletin boards I DO NOT give permission for Holy Maternity of Mary employees and volunteers to photograph my child(ren) and use his/her picture solely for the church's website, weekly bulletins, and/or bulletin boards Please fill out this field.
  
  Learning Options - Please indicate which learning format for which you would like to register your child for the 2020-2021 school year. REQUIRED
  Please pick which learning option you would prefer for your child:
  In person classes weekly after Mass on Sundays. All Diocesan guidelines for Religious Education will be followed, including social distancing, PPE, screening of students and volunteers, etc. Online curriculum through the Diocese of Kalamazoo. Students will do the weekly curriculum from home and their teacher or the DRE will check in biweekly. Please fill out this field.
  
  Emergency Contact Information
  
  Medication/Allergies/Medical Conditions: Please enter valid data.
  
  Emergency Contact Person other than Parent/Guardian: Please enter valid data.
  
  Relationship to Student Please enter valid data.
  
  Emergency Contact Phone Number Maximum 20 characters Please enter a phone number.
  
  Registration Fee
  
  Offering to offset the cost of textbooks, supplies, and materials: $20 donation per family. This donation is waived for the children of the catechists or program volunteers. If you would like to help pay for another family, or make additional donation, you may do so.
  
  Donation $ Please enter a positive decimal.
  
  Total:
  
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