Please complete one form per family. You must be a registered parishioner of PBOC to enroll in the Religious Education Program. Copies of Baptismal Certificates are required for students entering Grade 2 and Grade 8, if not baptized at PBOC. Father's Name* First Last Mother's Name* First Last Mailing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone/Primary Number*Cell PhoneEmail Registration FeesFirst Child: $25 Additional Children: $20 *Checks may be dropped off at the parish office, in the collection basket (labeled "RE Registration) at Mass or mailed to: 1633 Waverly Rd. Pawleys Island, SC 29585List*Child NameAgeGradeSacraments Received To add another child, please click the + on the right of "Sacraments Received."Please state any special needs or concerns related to learning that you would like the catechist to be aware of in teaching your child.Please list any allergies your child may have:I give permission for my child's photo during religious education program activities to be posted on the parish website.
