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St Eloi Catholic Church
Theriot, LA
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Home
About
St. Eloi
Staff
Little Friars & Little Nuns of Jesus & Mary
Bulletins
Photo Albums
Liturgy / Sacraments
Homilies
Mass Times
Marriages
Funerals
Faith
News
Faith Formation Registration
Ministries
Music Ministry
Youth Ministry
Adult Formation
Mass Ministries
Knights of Columbus #8779
Other Ministries
Online Giving
News & Events
Church News
Faith Formation Registration
The maximum number of form submissions has been reached. This form is currently not available.
Main Contact Email Address
REQUIRED
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Please enter an email address.
Parent Info:
Mother's Name
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Mother's cell
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Father's name
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Father's cell
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Home Phone
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Emergency Phone Number
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Address
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City
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State
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Zip
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Please enter a zip code.
Do you, as a parent, promise to practice the Catholic faith and attend Mass every Sunday?
Will your student attend CCD regularly according to the schedule provided?
I Agree
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Children
REQUIRED
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Child 1
Student Name
Please enter valid data.
CCD Grade
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Student Date of Birth
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Place of Birth
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Age
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Place of Baptism
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Date of Baptism
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Name of Priest
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Place of 1st Communion
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Date of 1st Communion
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Name of Priest
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Do the mother and father live together with the student?
yes
no
If no, what is the name of the Guardian / Step Parents
Please enter valid data.
Was the child enrolled in CCD at St. Eloi in the previous year?
yes
no
If no, where?
Please enter valid data.
Does the student have any allergies or medical conditions?
Child 2
Student Name
Please enter valid data.
CCD Grade
Please enter valid data.
Student Date of Birth
Please enter valid data.
Place of Birth
Please enter valid data.
Age
Please enter valid data.
Place of Baptism
Please enter valid data.
Date of Baptism
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Name of Priest
Please enter valid data.
Place of 1st Communion
Please enter valid data.
Date of 1st Communion
Please enter valid data.
Name of Priest
Please enter valid data.
Do the mother and father live together with the student?
yes
no
If no, what is the name of the Guardian / Step Parents
Please enter valid data.
Was the child enrolled in CCD at St. Eloi in the previous year?
yes
no
If no, where?
Please enter valid data.
Does the student have any allergies or medical conditions?
Child 3
Student Name
Please enter valid data.
CCD Grade
Please enter valid data.
Student Date of Birth
Please enter valid data.
Place of Birth
Please enter valid data.
Age
Please enter valid data.
Place of Baptism
Please enter valid data.
Date of Baptism
Please enter valid data.
Name of Priest
Please enter valid data.
Place of 1st Communion
Please enter valid data.
Date of 1st Communion
Please enter valid data.
Name of Priest
Please enter valid data.
Do the mother and father live together with the student?
yes
no
If no, what is the name of the Guardian / Step Parents
Please enter valid data.
Was the child enrolled in CCD at St. Eloi in the previous year?
yes
no
If no, where?
Please enter valid data.
Does the student have any allergies or medical conditions?
Child 4
Student Name
Please enter valid data.
CCD Grade
Please enter valid data.
Student Date of Birth
Please enter valid data.
Place of Birth
Please enter valid data.
Age
Please enter valid data.
Place of Baptism
Please enter valid data.
Date of Baptism
Please enter valid data.
Name of Priest
Please enter valid data.
Place of 1st Communion
Please enter valid data.
Date of 1st Communion
Please enter valid data.
Name of Priest
Please enter valid data.
Do the mother and father live together with the student?
yes
no
If no, what is the name of the Guardian / Step Parents
Please enter valid data.
Was the child enrolled in CCD at St. Eloi in the previous year?
yes
no
If no, where?
Please enter valid data.
Does the student have any allergies or medical conditions?
Only Confirmation students (11th grade) complete this portion:
Sponsor Name
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Saint Name / Confirmation Name
Please enter valid data.
Registration Fee
How many children did you register?
REQUIRED
$0.00 – (Select One)
$20.00 – 1 child
$35.00 – 2 children
$45.00 – 3 children
$50.00 – 4 or more children
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