CCD Registration Fall 2020 <div> <br /> </div>

Parish where family is registered. REQUIRED Please fill out this field. Please enter valid data.

Family Name REQUIRED Please fill out this field. Please enter valid data.

Street 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.

Home/Primary Phone Number REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Email Please enter an email address.

Mother's First Name REQUIRED Please fill out this field. Please enter valid data.

Mother's 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 Address if different than child's.

Mother's Cell Phone Please enter valid data.

Father's First Name REQUIRED Please fill out this field. Please enter valid data.

Father's Last Name REQUIRED Please fill out this field. Please enter valid data.

Father's Address if different than child's.

Father's Cell Phone Please enter valid data.

Number of Children you are registering. REQUIRED Please fill out this field.
Child 1
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Nickname Please enter valid data.
- Female/Male REQUIRED Female Male Please fill out this field.
- Birthdate REQUIRED Please fill out this field. Please enter valid data.
- Child has been Baptized. REQUIRED Yes No Please fill out this field.
- Baptismal Date (we will need a copy of Baptismal Certificate if not already on file) Please enter valid data.
- Church of Baptism Please enter valid data.
- Address of Church of Baptism
- First Communion (date and Church) Please enter valid data.
- Confirmation (date and Church) Please enter valid data.
- Public School REQUIRED Please fill out this field. Please enter valid data.
- Grade (2020-2021) REQUIRED Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade Please fill out this field.
- Allergies, special needs or concerns we should be aware of.
- CCD Options REQUIRED Book Online Platform Both/Undecided Please fill out this field.
Child 2
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Nickname Please enter valid data.
- Female/Male REQUIRED Female Male Please fill out this field.
- Birthdate REQUIRED Please fill out this field. Please enter valid data.
- Child has been Baptized. REQUIRED Yes No Please fill out this field.
- Baptismal Date (we will need a copy of Baptismal Certificate if not already on file) Please enter valid data.
- Church of Baptism Please enter valid data.
- Address of Church of Baptism
- First Communion (date and Church) Please enter valid data.
- Confirmation (date and Church) Please enter valid data.
- Public School REQUIRED Please fill out this field. Please enter valid data.
- Grade (2020-2021) REQUIRED Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade Please fill out this field.
- Allergies, special needs or concerns we should be aware of.
- CCD Options REQUIRED Book Online Platform Both/Undecided Please fill out this field.
Child 3
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Nickname Please enter valid data.
- Female/Male REQUIRED Female Male Please fill out this field.
- Birthdate REQUIRED Please fill out this field. Please enter valid data.
- Child has been Baptized. REQUIRED Yes No Please fill out this field.
- Baptismal Date (we will need a copy of Baptismal Certificate if not already on file) Please enter valid data.
- Church of Baptism Please enter valid data.
- Address of Church of Baptism
- First Communion (date and Church) Please enter valid data.
- Confirmation (date and Church) Please enter valid data.
- Public School REQUIRED Please fill out this field. Please enter valid data.
- Grade (2020-2021) REQUIRED Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade Please fill out this field.
- Allergies, special needs or concerns we should be aware of.
- CCD Options REQUIRED Book Online Platform Both/Undecided Please fill out this field.
Child 4
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Nickname Please enter valid data.
- Female/Male REQUIRED Female Male Please fill out this field.
- Birthdate REQUIRED Please fill out this field. Please enter valid data.
- Child has been Baptized. REQUIRED Yes No Please fill out this field.
- Baptismal Date (we will need a copy of Baptismal Certificate if not already on file) Please enter valid data.
- Church of Baptism Please enter valid data.
- Address of Church of Baptism
- First Communion (date and Church) Please enter valid data.
- Confirmation (date and Church) Please enter valid data.
- Public School REQUIRED Please fill out this field. Please enter valid data.
- Grade (2020-2021) REQUIRED Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade Please fill out this field.
- Allergies, special needs or concerns we should be aware of.
- CCD Options REQUIRED Book Online Platform Both/Undecided Please fill out this field.
Child 5
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Nickname Please enter valid data.
- Female/Male REQUIRED Female Male Please fill out this field.
- Birthdate REQUIRED Please fill out this field. Please enter valid data.
- Child has been Baptized. REQUIRED Yes No Please fill out this field.
- Baptismal Date (we will need a copy of Baptismal Certificate if not already on file) Please enter valid data.
- Church of Baptism Please enter valid data.
- Address of Church of Baptism
- First Communion (date and Church) Please enter valid data.
- Confirmation (date and Church) Please enter valid data.
- Public School REQUIRED Please fill out this field. Please enter valid data.
- Grade (2020-2021) REQUIRED Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade Please fill out this field.
- Allergies, special needs or concerns we should be aware of.
- CCD Options REQUIRED Book Online Platform Both/Undecided Please fill out this field.
Child 6
- First Name REQUIRED Please fill out this field. Please enter valid data.
- Middle Name REQUIRED Please fill out this field. Please enter valid data.
- Last Name REQUIRED Please fill out this field. Please enter valid data.
- Nickname Please enter valid data.
- Female/Male REQUIRED Female Male Please fill out this field.
- Birthdate REQUIRED Please fill out this field. Please enter valid data.
- Child has been Baptized. REQUIRED Yes No Please fill out this field.
- Baptismal Date (we will need a copy of Baptismal Certificate if not already on file) Please enter valid data.
- Church of Baptism Please enter valid data.
- Address of Church of Baptism
- First Communion (date and Church) Please enter valid data.
- Confirmation (date and Church) Please enter valid data.
- Public School REQUIRED Please fill out this field. Please enter valid data.
- Grade (2020-2021) REQUIRED Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade Please fill out this field.
- Allergies, special needs or concerns we should be aware of.
- CCD Options REQUIRED Book Online Platform Both/Undecided Please fill out this field.

Would your family prefer on site classes if they become available? REQUIRED Yes No Please fill out this field.

Would your family be interested in the family program (once a month on site) if available? REQUIRED Yes No Please fill out this field.

Registration Fees:
St. Michael the Archangel Parishioners
$60 for one child
$75 for two children
$90 for three or more children

Non-parishioners
(family is not registered members of St. Michael the Archangel)
$120 for one child
$150 for two children
$180 for three or more children

Fees may be paid online (link will be in confirmation email after you submit registration form) or by check (made payable to St. Michael the Archangel) and mailed to:
St. Michael the Archangel Religious Education
401 Washington Road
Pittsburgh, PA 15216