Registration - Saint Theresa Parish - Most Precious Blood & St. Theresa

Last Name of Student(s) REQUIRED Please fill out this field. Please enter valid data.

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.

Parent/Guardian 1

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

Last Name REQUIRED Please fill out this field. Please enter valid data.
Parent/Guardian's Religion REQUIRED Maximum 20 characters Please fill out this field. Please enter valid data.
Email REQUIRED Please fill out this field. Please enter valid data.
Phone REQUIRED Maximum 15 characters Please fill out this field. Please enter valid data.

Parent/Guardian 2 (if applicable)

First Name Please enter valid data.

Last Name Please enter valid data.

Parent/Guardian's Religion Please enter valid data.

Email Please enter valid data.

Phone Please enter valid data.

Emergency Contact Name REQUIRED Please fill out this field. Please enter valid data.

Emergency Contact Phone Number REQUIRED Please fill out this field. Please enter a phone number.

I give permission for my child(ren) to appear in photographs that may be posted in the parish bulletin or website. Yes, I give permission No, I do not give permission

Number of Children Registering REQUIRED Please fill out this field.
Children to be Registered 1
- First and Middle Names REQUIRED Please fill out this field. Please enter valid data.
- Nickname Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade in 2022 - 2023 REQUIRED Please fill out this field. Please enter an integer (number).
- School REQUIRED Please fill out this field. Please enter valid data.
- Grade 1, 3, 4, 5 Monday 3:30 - 4:30 PM Grade 1 Grade 3 Grade 4 Grade 5
- Grade 2 - Sunday Morning Family Sessions Grade 2
- Grades 6 - 10 (Oct - Dec at STP; Jan - Apr at MPB) Grade 6 - Sunday 6:30 - 7:30 PM Grade 7 - Sunday 6:30 - 7:30 PM Grade 8 - Sunday 6:30 - 7:30 PM Grade 9 - Sunday 4:00 - 5:15 PM Grade 10 - Sunday 4:00 - 5:15 PM
- How can we best support your child's learning needs? Please Explain
- Food Allergies - Please Explain Please enter valid data.
Children to be Registered 2
- First and Middle Names REQUIRED Please fill out this field. Please enter valid data.
- Nickname Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade in 2022 - 2023 REQUIRED Please fill out this field. Please enter an integer (number).
- School REQUIRED Please fill out this field. Please enter valid data.
- Grade 1, 3, 4, 5 Monday 3:30 - 4:30 PM Grade 1 Grade 3 Grade 4 Grade 5
- Grade 2 - Sunday Morning Family Sessions Grade 2
- Grades 6 - 10 (Oct - Dec at STP; Jan - Apr at MPB) Grade 6 - Sunday 6:30 - 7:30 PM Grade 7 - Sunday 6:30 - 7:30 PM Grade 8 - Sunday 6:30 - 7:30 PM Grade 9 - Sunday 4:00 - 5:15 PM Grade 10 - Sunday 4:00 - 5:15 PM
- How can we best support your child's learning needs? Please Explain
- Food Allergies - Please Explain Please enter valid data.
Children to be Registered 3
- First and Middle Names REQUIRED Please fill out this field. Please enter valid data.
- Nickname Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade in 2022 - 2023 REQUIRED Please fill out this field. Please enter an integer (number).
- School REQUIRED Please fill out this field. Please enter valid data.
- Grade 1, 3, 4, 5 Monday 3:30 - 4:30 PM Grade 1 Grade 3 Grade 4 Grade 5
- Grade 2 - Sunday Morning Family Sessions Grade 2
- Grades 6 - 10 (Oct - Dec at STP; Jan - Apr at MPB) Grade 6 - Sunday 6:30 - 7:30 PM Grade 7 - Sunday 6:30 - 7:30 PM Grade 8 - Sunday 6:30 - 7:30 PM Grade 9 - Sunday 4:00 - 5:15 PM Grade 10 - Sunday 4:00 - 5:15 PM
- How can we best support your child's learning needs? Please Explain
- Food Allergies - Please Explain Please enter valid data.
Children to be Registered 4
- First and Middle Names REQUIRED Please fill out this field. Please enter valid data.
- Nickname Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade in 2022 - 2023 REQUIRED Please fill out this field. Please enter an integer (number).
- School REQUIRED Please fill out this field. Please enter valid data.
- Grade 1, 3, 4, 5 Monday 3:30 - 4:30 PM Grade 1 Grade 3 Grade 4 Grade 5
- Grade 2 - Sunday Morning Family Sessions Grade 2
- Grades 6 - 10 (Oct - Dec at STP; Jan - Apr at MPB) Grade 6 - Sunday 6:30 - 7:30 PM Grade 7 - Sunday 6:30 - 7:30 PM Grade 8 - Sunday 6:30 - 7:30 PM Grade 9 - Sunday 4:00 - 5:15 PM Grade 10 - Sunday 4:00 - 5:15 PM
- How can we best support your child's learning needs? Please Explain
- Food Allergies - Please Explain Please enter valid data.
Children to be Registered 5
- First and Middle Names REQUIRED Please fill out this field. Please enter valid data.
- Nickname Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade in 2022 - 2023 REQUIRED Please fill out this field. Please enter an integer (number).
- School REQUIRED Please fill out this field. Please enter valid data.
- Grade 1, 3, 4, 5 Monday 3:30 - 4:30 PM Grade 1 Grade 3 Grade 4 Grade 5
- Grade 2 - Sunday Morning Family Sessions Grade 2
- Grades 6 - 10 (Oct - Dec at STP; Jan - Apr at MPB) Grade 6 - Sunday 6:30 - 7:30 PM Grade 7 - Sunday 6:30 - 7:30 PM Grade 8 - Sunday 6:30 - 7:30 PM Grade 9 - Sunday 4:00 - 5:15 PM Grade 10 - Sunday 4:00 - 5:15 PM
- How can we best support your child's learning needs? Please Explain
- Food Allergies - Please Explain Please enter valid data.
Children to be Registered 6
- First and Middle Names REQUIRED Please fill out this field. Please enter valid data.
- Nickname Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade in 2022 - 2023 REQUIRED Please fill out this field. Please enter an integer (number).
- School REQUIRED Please fill out this field. Please enter valid data.
- Grade 1, 3, 4, 5 Monday 3:30 - 4:30 PM Grade 1 Grade 3 Grade 4 Grade 5
- Grade 2 - Sunday Morning Family Sessions Grade 2
- Grades 6 - 10 (Oct - Dec at STP; Jan - Apr at MPB) Grade 6 - Sunday 6:30 - 7:30 PM Grade 7 - Sunday 6:30 - 7:30 PM Grade 8 - Sunday 6:30 - 7:30 PM Grade 9 - Sunday 4:00 - 5:15 PM Grade 10 - Sunday 4:00 - 5:15 PM
- How can we best support your child's learning needs? Please Explain
- Food Allergies - Please Explain Please enter valid data.
Children to be Registered 7
- First and Middle Names REQUIRED Please fill out this field. Please enter valid data.
- Nickname Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade in 2022 - 2023 REQUIRED Please fill out this field. Please enter an integer (number).
- School REQUIRED Please fill out this field. Please enter valid data.
- Grade 1, 3, 4, 5 Monday 3:30 - 4:30 PM Grade 1 Grade 3 Grade 4 Grade 5
- Grade 2 - Sunday Morning Family Sessions Grade 2
- Grades 6 - 10 (Oct - Dec at STP; Jan - Apr at MPB) Grade 6 - Sunday 6:30 - 7:30 PM Grade 7 - Sunday 6:30 - 7:30 PM Grade 8 - Sunday 6:30 - 7:30 PM Grade 9 - Sunday 4:00 - 5:15 PM Grade 10 - Sunday 4:00 - 5:15 PM
- How can we best support your child's learning needs? Please Explain
- Food Allergies - Please Explain Please enter valid data.
Children to be Registered 8
- First and Middle Names REQUIRED Please fill out this field. Please enter valid data.
- Nickname Please enter valid data.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Grade in 2022 - 2023 REQUIRED Please fill out this field. Please enter an integer (number).
- School REQUIRED Please fill out this field. Please enter valid data.
- Grade 1, 3, 4, 5 Monday 3:30 - 4:30 PM Grade 1 Grade 3 Grade 4 Grade 5
- Grade 2 - Sunday Morning Family Sessions Grade 2
- Grades 6 - 10 (Oct - Dec at STP; Jan - Apr at MPB) Grade 6 - Sunday 6:30 - 7:30 PM Grade 7 - Sunday 6:30 - 7:30 PM Grade 8 - Sunday 6:30 - 7:30 PM Grade 9 - Sunday 4:00 - 5:15 PM Grade 10 - Sunday 4:00 - 5:15 PM
- How can we best support your child's learning needs? Please Explain
- Food Allergies - Please Explain Please enter valid data.

Parental involvement is crucial for the success of our programs. Please check any volunteer opportunities for which you may be available:

Grades 1, 3, 4, 5 Catechist/Teacher Assistant Catechist Hall Monitor Substitute Catechist/Teacher

Grades 6 - 10 Catechist 6th - 8th Grade Aide 9th Grade Aide 10th Grade Aide

OFFICE USE ONLY PS CC BC PD

Most Precious Blood &
Saint Theresa Parish

Dover & Sherborn, MA

Registration - Saint Theresa Parish

The Church of the Most Precious Blood

Saint Theresa of Lisieux Parish