St. Frances X. Cabrini
The Friends of St. Frances X. Cabrini, Inc.
Religious Education & Youth Group Ministry Registration
27 Hood Road, Scituate, MA 02066
781.264.4255
www.stfrancesxcabriniscituate.org
Family: ______________________________
Home Phone: _____________________
Address: ______________________________
Cell Phone: _______________________
______________________________ Work Phone: _____________________
______________________________
E-mail: _________________________
Emergency Contact: _________________________
Custodial Parent if different from above:________________ Emergency Number: _________________________
Religious Education for kindergarten, 3rd, 4th, 5th, 6th, 7th, and 8th grades.
Classes will be held on Sunday at 11:00AM in the church.
Tuition - free will donation of $20 per family
Student #1
Birthdate
Gender
Grade
___________________________
_________
_________
_________
Sacrament:
Baptism
Catholic ? First Communion Penance
Yes__ No__ Yes__ No__ Yes__ No__
Yes__ No__
Special Needs: health, medical and educational needs (this information remains strictly confidential and will be only used for
purposes related to assisting the Catechist as determined by the Director of Religious Education.)
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
Student #2
Birthdate
Gender
Grade
___________________________
_________
_________
_________
Sacrament:
Baptism
Catholic ? First Communion Penance
Yes__ No__ Yes__ No__ Yes__ No__
Yes__ No__
Special Needs: health, medical and educational needs (this information remains strictly confidential and will b