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2022-2023 Religious Education Registration
- Welcome!
  
  How to Register:
  
  Complete the online registration form and make payment below (family must be registered in the parish) or...
  
  Download the registration form here. Return completed form and payment to the Religious Education Office no later than Sept. 11, 2022.
  *We believe all children should have the opportunity to learn about God's great love for us. If you are experiencing financial difficulties, please download the registration form and contact Susan McGoldrick directly to discuss an option that would best suit your family's needs.
  
  Download Registration Form
  
  If your family is new to our program, our Director of Faith Formation will be in contact with you soon after your registration form has been submitted.
- Online Registration
  
  The maximum number of form submissions has been reached. This form is currently not available.
  
  Family Name REQUIRED Please fill out this field. Please enter valid data.
  
  Main Family Email REQUIRED Please fill out this field. Please enter an email address.
  
  Mother's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last 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 Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Mother's Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  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.
  
  Marital Status REQUIRED
  Select One
  Please fill out this field.
  
  Father's Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Religion REQUIRED Please fill out this field. Please enter valid data.
  
  Father's Cell Phone Number Maximum 20 characters Please enter a phone number.
  
  Father's Email Please enter an email address.
  
  Father's Address (if different from Mother's) Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Registration Information
  
  With Whom Does the Child/Children Live? REQUIRED
  Select One
  Please fill out this field.
  
  If you checked "Other" above, please list the guardian and their relationship to the child Please enter valid data.
  
  Emergency Contact Information
  
  Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.
  
  Emergency Contact Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Do you have any children currently attending a Catholic School? REQUIRED Please fill out this field.
  
  If yes, please list the names and grades of each child as well as the name of the Catholic school they are attending.
  
  Number of Children to be Registered for Religious Education REQUIRED Please fill out this field.
  
  Child 1
  
  Child's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student's Phone Number (MS/HS only) Maximum 20 characters Please enter a phone number.
  
  Grade in School REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending in 2022-2023 REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Please fill out this field.
  
  Are you registering this child, at St. Rose, for the first time?
  
  Name of church and location where child was baptized. Please enter valid data.
  
  If registering for the first time and your child was not baptized at St. Rose, a copy of his/her baptismal certificate must be sent to the office:
  
  St. Rose of Lima
  Religious Education Office
  PO BOX 685
  Northborough, MA 01532
  
  So we can better serve your family, please indicate any specific medical, academic, or behavioral needs of which we should be aware (allergies, IEP, etc...)
  
  Registration and Class Schedule REQUIRED
  Select One
  Please fill out this field.
  
  Child 2
  
  Child's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student's Phone Number (MS/HS only) Maximum 20 characters Please enter a phone number.
  
  Grade in School REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending in 2022-2023 REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Please fill out this field.
  
  Are you registering this child, at St. Rose, for the first time?
  
  Name of church and location where child was baptized. Please enter valid data.
  
  If registering for the first time and your child was not baptized at St. Rose, a copy of his/her baptismal certificate must be sent to the office:
  
  St. Rose of Lima
  Religious Education Office
  PO BOX 685
  Northborough, MA 01532
  
  So we can better serve your family, please indicate any specific medical, academic, or behavioral needs of which we should be aware (allergies, IEP, etc...)
  
  Registration and Class Schedule REQUIRED
  Select One
  Please fill out this field.
  
  Child 3
  
  Child's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student's Phone Number (MS/HS only) Maximum 20 characters Please enter a phone number.
  
  Grade in School REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending in 2022-2023 REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Please fill out this field.
  
  Are you registering this child, at St. Rose, for the first time?
  
  Name of church and location where child was baptized. Please enter valid data.
  
  If registering for the first time and your child was not baptized at St. Rose, a copy of his/her baptismal certificate must be sent to the office:
  
  St. Rose of Lima
  Religious Education Office
  PO BOX 685
  Northborough, MA 01532
  
  So we can better serve your family, please indicate any specific medical, academic, or behavioral needs of which we should be aware (allergies, IEP, etc...)
  
  Registration and Class Schedule REQUIRED
  Select One
  Please fill out this field.
  
  Child 4
  
  Child's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student's Phone Number (MS/HS only) Maximum 20 characters Please enter a phone number.
  
  Grade in School REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending in 2022-2023 REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Please fill out this field.
  
  Are you registering this child, at St. Rose, for the first time?
  
  Name of church and location where child was baptized. Please enter valid data.
  
  If registering for the first time and your child was not baptized at St. Rose, a copy of his/her baptismal certificate must be sent to the office:
  
  St. Rose of Lima
  Religious Education Office
  PO BOX 685
  Northborough, MA 01532
  
  So we can better serve your family, please indicate any specific medical, academic, or behavioral needs of which we should be aware (allergies, IEP, etc...)
  
  Registration and Class Schedule REQUIRED
  Select One
  Please fill out this field.
  
  Child 5
  
  Child's Full Name REQUIRED Please fill out this field. Please enter valid data.
  
  Student's Phone Number (MS/HS only) Maximum 20 characters Please enter a phone number.
  
  Grade in School REQUIRED Please fill out this field. Please enter valid data.
  
  School Attending in 2022-2023 REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Please fill out this field.
  
  Are you registering this child, at St. Rose, for the first time?
  
  Name of church and location where child was baptized. Please enter valid data.
  
  If registering for the first time and your child was not baptized at St. Rose, a copy of his/her baptismal certificate must be sent to the office:
  
  St. Rose of Lima
  Religious Education Office
  PO BOX 685
  Northborough, MA 01532
  
  So we can better serve your family, please indicate any specific medical, academic, or behavioral needs of which we should be aware (allergies, IEP, etc...)
  
  Registration and Class Schedule REQUIRED
  Select One
  Please fill out this field.
  
  A photograph or video of your child(ren) participating in a religious education, youth ministry or related event may be used on our website, social media, or in a newspaper story. . REQUIRED Please fill out this field.
  
  Volunteers Needed!
  
  A successful program cannot function without the help of many hands. Please consider sharing your gifts and talents with us.
  
  Please check all volunteer areas of interest. Teacher Classroom Assistant Hall Monitor Classroom Substitute
  
  Other Gifts/Talents you would like to share with our program: Please enter valid data.
  
  Regular attendance at religious education classes in consecutive years is required. Unexcused absences may affect admittance into sacramental preparation programs.
  
  Regular Mass attendance is also required and is considered part of the religious education program.
  
  Multi-Student Family Discount -50.0 – 3 Students Registered -100.0 – 4 Students or more Registered
  
  At Saint Rose of Lima, we do all we can to minimize the cost of religious education in order to make it accessible for all. If you would like to make an additional, optional, donation which will help us to cover card processing fees and other expenses, please select an optional donation below or create your own. Thank you for your support.
  
  Optional Donation 3.0 – Thank You! 10.0 – Thank You! 25.0 – Thank You!
  
  Other Optional Donation
  Your donation helps cover the cost of texts, scholarships, & other expenses for those in need.
  $ Please enter a positive decimal.
  
  No one will be denied religious education due to the inability to pay. If there is a current financial difficulty or if you would like to arrange a payment plan, please call Susan McGoldrick at 508-393-2413.
  
  Total:
  
  Submit
  
  Proceed to Payment
  
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How to Register: