Saint
Theresa Catholic Church
630 Rathbun Street
Blackstone, Massachusetts 01504
508-883-7206
E mail: theresaparish630@verizon.net
Religious Education Ministry 508-883-7527 (Sundays in session)
REGISTERED AT ST. THERESA’S PARISH YES_____ NO ______
Child’s Name____________________________________________________________
First
Middle
Last
Parents Names____________________________________________________________
____________________________________________________________
Address (street)____________________________________________________________
City or town
____________________________________________________________
Email address: ____________________________________________________________
Home Phone ___________________Emergency Phone
(Sun. between 9 & 10) ____________________
Date of Birth __________________________ Grade
Registering *__________________
Date of Baptism________________________ Church
& Address___________________
_____________________________________________________________________
Date of First Communion________________ Church
& Address__________________
______________________________________________________________________
How many children enrolled in Rel. Ed.:_____ Grades ____
_____ _____ ____
With this registration I commit myself to bringing
my child/children to Weekly Mass as part of the Religious Education Program.
Signature of Parent/Guardian________________________________________________
Please mention anything Religious Education Coordinators
should know.
Registration fee is $30.00 per child with a family
maximum of $60.00
Volunteer Work:
Religious Education Teacher_____
Grade Preferred____
Substitute Teacher______
Office Work _____
Other_____ (Sewing, Crafts, set up, clean up etc.)
- IF REGISTERING IN GRADE
2 OR 10 WE MUST HAVE A COPY OF YOUR BAPTISM CERTIFICATE unless you were Baptized here at St. Theresa’s
Note: Registration
in the parish is a pre-requisite to entering our Religious Education Program.
Registering your child in Religious Education
does not register you to the parish. To register into the parish, please
call the rectory during parish office hours.
