IREP

Registration for the 2022-2023 session of the Interparish Religious Education Program and Catechesis of the Good Shepherd is closed.

IREP Registration

Child Information
Child's Name
First Last
Child Known As
Child Date of Birth
MM slash DD slash YYYY
Child Sex
Home Parish
Parish Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Child School
Child School Grade (starting September)
Child Most Recently Completed Religious Education Year
Child Previously Attended Religious Education Program
Medical Information
The following information is needed to best serve your child, especially in case of an emergency. It will be kept private:
- Medications
- Allergies/Food Sensitivities
- Learning Needs
- Physical Disabilities
- Additional Comments
Medical Information
Sacramental Background
Has Child Been Baptized?
- Yes
- No
Child Baptismal Church
Child Baptismal Church Location
Child Baptism Date
MM slash DD slash YYYY
Has Child Completed First Communion?
- Yes
- No
Child First Communion Church
Child First Communion Church Location
Child First Communion Date
MM slash DD slash YYYY
Child Family Information
Person with Whom Child Lives First Name
First Last
Person with Whom Child Lives Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Person with Whom Child Lives Telephone
Person with Whom Child Lives Email
Parent 1 Name
First Last
Parent 1 Religion
Parent 2 Name
First Last
Parent 2 Religion
Mother Maiden Name (if different)
Marital Status of Parents
Emergency Contact Information
Emergency Contact Name
First Last
Emergency Contact Phone Number
Emergency Contact Relationship to Child
Session Selection
Do you Give Your Child Permission to Self-Dismiss (6, 7, 8 Grade ONLY)
Tuition Payment Method
Request Financial Aid
- Yes
If you have chosen to pay by credit card you will be redirected after this form has been submitted.
Please note:
- Tuition is due by Saturday, October 15, 2022
- Tuition does NOT include sacramental fees
- Please send a copy of child’s baptismal certificate to [email protected]
- Seats are given on a first come, first serve basis—registration does not guarantee a seat

IREP

Registration for the 2022-2023 session of the Interparish Religious Education Program and Catechesis of the Good Shepherd is closed.

IREP Registration

Child Information

Medical Information

Sacramental Background

Child Family Information

Emergency Contact Information

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