School of Catholic Life Registration Form Basic InformationRegistrant's Name*Person Registering for SCL First Middle Last Father's Name* First Middle Last Mother's Name* First Middle Last Date of Birth of Registrant* Month Day Year City and State of Place of Birth* Current Mailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Preferred Phone Number*Are you Registered at St. Joseph's?* Yes No CAPTCHAHas your child been baptized?* Yes No Where?*Please input Church Name and Address Are you enrolling your child for Sacramental Preparation?* Yes No Which Sacrament(s)?* Reconciliation First Eucharist Confirmation CommentsThis field is for validation purposes and should be left unchanged.
