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Saint John Paul II
Catholic Parish
Kewanee, IL
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Confirmation
First Eucharist
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Anointing of the Sick
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Religious Education
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2016-2017 CCD Registration
Education
Religious Education
Religious Education for Adults
Religious Education for Children
Register
Become a Catechist!
Visitation School
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Visitation School
Visitation Alumni, Family, & Friends
Register Now!
The maximum number of form submissions has been reached. This form is currently not available.
*You may register all children on this form.
Fees: 1 child $75
2 children $150
3 or more children $175
Payments may be made at the Parish Office by cash or check.
To receive First Reconciliation and First Communion, your child must be enrolled and attend classes regularly for a minimum of two (2) years before receiving the Sacraments. To receive Confirmation in 2017, your child must be enrolled in CCD classes a minimum of four (4) years before receiving the Sacrament. If you are a new member, a letter from your former Pastor must be submitted for Pastor approval.
Mailings should be sent to:
REQUIRED
(Select One)
Mr. & Mrs.
Mr.
Mrs.
Ms.
Please fill out this field.
Family Name
REQUIRED
Your Family Name is the last name in which your family in registered at Saint John Paul II Parish.
Please fill out this field.
Please enter valid data.
Home Address
REQUIRED
Please fill out this field.
Please enter valid data.
City
REQUIRED
Please fill out this field.
Please enter valid data.
State
REQUIRED
AK
AL
AR
AS
AZ
CA
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CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
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OR
PA
PR
PW
RI
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SD
TN
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UT
VA
VI
VT
WA
WI
WV
WY
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Zip
REQUIRED
Please fill out this field.
Please enter a zip code.
Phone Number
REQUIRED
Maximum 20 characters
Please fill out this field.
Please enter a phone number.
Home Language
None
English
Spanish
Family Email Address
REQUIRED
Please fill out this field.
Please enter an email address.
Father
First Name
Please enter valid data.
Last Name
Please enter valid data.
Religion
Please enter valid data.
Occupation
Please enter valid data.
Work Phone Number
Maximum 20 characters
Please enter a phone number.
Cell Phone Number
Maximum 20 characters
Please enter a phone number.
Mother
First Name
Please enter valid data.
Last Name
Please enter valid data.
Religion
Please enter valid data.
Occupation
Please enter valid data.
Work Phone Number
Maximum 20 characters
Please enter a phone number.
Cell Phone Number
Maximum 20 characters
Please enter a phone number.
Child(ren) live(s) with:
REQUIRED
(Select One)
Both Parents
Father
Mother
Other
Please fill out this field.
Do both parents have Legal Access?
REQUIRED
(Select One)
Both Parents
Father
Mother
Please fill out this field.
Children
REQUIRED
Please fill out this field.
Child 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.
Grade 2016-2017
REQUIRED
Please fill out this field.
Please enter valid data.
Sacraments Received
Baptism
First Reconciliation
First Communion
None
Birthdate
REQUIRED
Please fill out this field.
Please enter a date.
Allergy / Special Instruction
Religious Education
REQUIRED
My child was enrolled in religious education classes last year (2015-2016) at Saint John Paul II.
My child was enrolled in religious education classes last year at another parish.
My child was not enrolled in religious education classes last year.
Please fill out this field.
Child 2
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Grade 2016-2017
REQUIRED
Please fill out this field.
Please enter valid data.
Sacraments Received
Baptism
First Reconciliation
First Communion
None
Birthdate
REQUIRED
Please fill out this field.
Please enter a date.
Allergy / Special Instruction
Religious Education
REQUIRED
My child was enrolled in religious education classes last year (2015-2016) at Saint John Paul II.
My child was enrolled in religious education classes last year at another parish.
My child was not enrolled in religious education classes last year.
Please fill out this field.
Child 3
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Grade 2016-2017
REQUIRED
Please fill out this field.
Please enter valid data.
Sacraments Received
Baptism
First Reconciliation
First Communion
None
Birthdate
REQUIRED
Please fill out this field.
Please enter a date.
Allergy / Special Instruction
Religious Education
REQUIRED
My child was enrolled in religious education classes last year (2015-2016) at Saint John Paul II.
My child was enrolled in religious education classes last year at another parish.
My child was not enrolled in religious education classes last year.
Please fill out this field.
Child 4
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Grade 2016-2017
REQUIRED
Please fill out this field.
Please enter valid data.
Sacraments Received
Baptism
First Reconciliation
First Communion
None
Birthdate
REQUIRED
Please fill out this field.
Please enter a date.
Allergy / Special Instruction
Religious Education
REQUIRED
My child was enrolled in religious education classes last year (2015-2016) at Saint John Paul II.
My child was enrolled in religious education classes last year at another parish.
My child was not enrolled in religious education classes last year.
Please fill out this field.
Child 5
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Grade 2016-2017
REQUIRED
Please fill out this field.
Please enter valid data.
Sacraments Received
Baptism
First Reconciliation
First Communion
None
Birthdate
REQUIRED
Please fill out this field.
Please enter a date.
Allergy / Special Instruction
Religious Education
REQUIRED
My child was enrolled in religious education classes last year (2015-2016) at Saint John Paul II.
My child was enrolled in religious education classes last year at another parish.
My child was not enrolled in religious education classes last year.
Please fill out this field.
Payment Options
REQUIRED
Full Payment: Due at registration (after each Mass on August 20, 21, 27, & 28). Semi Annual Payments: First payment due at Registration, second payment due by January 16. Monthly Payments: A $20 fee will be included in the first billing to cover the additional cost of mailing & bookkeeping.
Full Payment
Semi Annual Payments
Monthly Payments
Please fill out this field.
Are you a registered member of Saint John Paul II Parish?
REQUIRED
Yes
No
Please fill out this field.
Sacramental Preparation
REQUIRED
Please complete only if preparing for First Communion (Year 2) or Confirmation (Years 7 & 8)
Please fill out this field.
Child 1
Sacrament
REQUIRED
(Select One)
First Reconciliation / First Communion
Confirmation
Please fill out this field.
Name
REQUIRED
Please fill out this field.
Please enter valid data.
Birthplace
REQUIRED
Please fill out this field.
Please enter valid data.
Birthdate
REQUIRED
Please fill out this field.
Please enter a date.
Age
REQUIRED
Please fill out this field.
Please enter an integer (number).
Baptism
Include the name of the church, city, and state (country, if applicable).
Please enter valid data.
Date of Baptism
Please enter a date.
First Reconciliation
Include the name of the church, city, and state (country, if applicable).
Please enter valid data.
Date of First Reconciliation
Please enter a date.
First Communion
Include the name of the church, city, and state (country, if applicable).
Please enter valid data.
Date of First Communion
Please enter a date.
Current Address
REQUIRED
Please fill out this field.
Please enter valid data.
City
REQUIRED
Please fill out this field.
Please enter valid data.
State
REQUIRED
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Please fill out this field.
Zip
REQUIRED
Please fill out this field.
Please enter a zip code.
Father's Full Name
REQUIRED
Please fill out this field.
Please enter valid data.
Mother's Full Name
REQUIRED
Please fill out this field.
Please enter valid data.
Please bring a Certified Copy of Baptism and/or First Communion Certificate to the Parish Office.
*If sacraments were received in Kewanee (Visitation Church or St. Francis Church, those files are on record at the Parish Office.
Child 2
Sacrament
REQUIRED
(Select One)
First Reconciliation / First Communion
Confirmation
Please fill out this field.
Name
REQUIRED
Please fill out this field.
Please enter valid data.
Birthplace
REQUIRED
Please fill out this field.
Please enter valid data.
Birthdate
REQUIRED
Please fill out this field.
Please enter a date.
Age
REQUIRED
Please fill out this field.
Please enter an integer (number).
Baptism
Include the name of the church, city, and state (country, if applicable).
Please enter valid data.
Date of Baptism
Please enter a date.
First Reconciliation
Include the name of the church, city, and state (country, if applicable).
Please enter valid data.
Date of First Reconciliation
Please enter a date.
First Communion
Include the name of the church, city, and state (country, if applicable).
Please enter valid data.
Date of First Communion
Please enter a date.
Current Address
REQUIRED
Please fill out this field.
Please enter valid data.
City
REQUIRED
Please fill out this field.
Please enter valid data.
State
REQUIRED
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Please fill out this field.
Zip
REQUIRED
Please fill out this field.
Please enter a zip code.
Father's Full Name
REQUIRED
Please fill out this field.
Please enter valid data.
Mother's Full Name
REQUIRED
Please fill out this field.
Please enter valid data.
Please bring a Certified Copy of Baptism and/or First Communion Certificate to the Parish Office.
*If sacraments were received in Kewanee (Visitation Church or St. Francis Church, those files are on record at the Parish Office.
Child 3
Sacrament
REQUIRED
(Select One)
First Reconciliation / First Communion
Confirmation
Please fill out this field.
Name
REQUIRED
Please fill out this field.
Please enter valid data.
Birthplace
REQUIRED
Please fill out this field.
Please enter valid data.
Birthdate
REQUIRED
Please fill out this field.
Please enter a date.
Age
REQUIRED
Please fill out this field.
Please enter an integer (number).
Baptism
Include the name of the church, city, and state (country, if applicable).
Please enter valid data.
Date of Baptism
Please enter a date.
First Reconciliation
Include the name of the church, city, and state (country, if applicable).
Please enter valid data.
Date of First Reconciliation
Please enter a date.
First Communion
Include the name of the church, city, and state (country, if applicable).
Please enter valid data.
Date of First Communion
Please enter a date.
Current Address
REQUIRED
Please fill out this field.
Please enter valid data.
City
REQUIRED
Please fill out this field.
Please enter valid data.
State
REQUIRED
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Please fill out this field.
Zip
REQUIRED
Please fill out this field.
Please enter a zip code.
Father's Full Name
REQUIRED
Please fill out this field.
Please enter valid data.
Mother's Full Name
REQUIRED
Please fill out this field.
Please enter valid data.
Please bring a Certified Copy of Baptism and/or First Communion Certificate to the Parish Office.
*If sacraments were received in Kewanee (Visitation Church or St. Francis Church, those files are on record at the Parish Office.
Child 4
Sacrament
REQUIRED
(Select One)
First Reconciliation / First Communion
Confirmation
Please fill out this field.
Name
REQUIRED
Please fill out this field.
Please enter valid data.
Birthplace
REQUIRED
Please fill out this field.
Please enter valid data.
Birthdate
REQUIRED
Please fill out this field.
Please enter a date.
Age
REQUIRED
Please fill out this field.
Please enter an integer (number).
Baptism
Include the name of the church, city, and state (country, if applicable).
Please enter valid data.
Date of Baptism
Please enter a date.
First Reconciliation
Include the name of the church, city, and state (country, if applicable).
Please enter valid data.
Date of First Reconciliation
Please enter a date.
First Communion
Include the name of the church, city, and state (country, if applicable).
Please enter valid data.
Date of First Communion
Please enter a date.
Current Address
REQUIRED
Please fill out this field.
Please enter valid data.
City
REQUIRED
Please fill out this field.
Please enter valid data.
State
REQUIRED
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Please fill out this field.
Zip
REQUIRED
Please fill out this field.
Please enter a zip code.
Father's Full Name
REQUIRED
Please fill out this field.
Please enter valid data.
Mother's Full Name
REQUIRED
Please fill out this field.
Please enter valid data.
Please bring a Certified Copy of Baptism and/or First Communion Certificate to the Parish Office.
*If sacraments were received in Kewanee (Visitation Church or St. Francis Church, those files are on record at the Parish Office.
Child 5
Sacrament
REQUIRED
(Select One)
First Reconciliation / First Communion
Confirmation
Please fill out this field.
Name
REQUIRED
Please fill out this field.
Please enter valid data.
Birthplace
REQUIRED
Please fill out this field.
Please enter valid data.
Birthdate
REQUIRED
Please fill out this field.
Please enter a date.
Age
REQUIRED
Please fill out this field.
Please enter an integer (number).
Baptism
Include the name of the church, city, and state (country, if applicable).
Please enter valid data.
Date of Baptism
Please enter a date.
First Reconciliation
Include the name of the church, city, and state (country, if applicable).
Please enter valid data.
Date of First Reconciliation
Please enter a date.
First Communion
Include the name of the church, city, and state (country, if applicable).
Please enter valid data.
Date of First Communion
Please enter a date.
Current Address
REQUIRED
Please fill out this field.
Please enter valid data.
City
REQUIRED
Please fill out this field.
Please enter valid data.
State
REQUIRED
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Please fill out this field.
Zip
REQUIRED
Please fill out this field.
Please enter a zip code.
Father's Full Name
REQUIRED
Please fill out this field.
Please enter valid data.
Mother's Full Name
REQUIRED
Please fill out this field.
Please enter valid data.
Please bring a Certified Copy of Baptism and/or First Communion Certificate to the Parish Office.
*If sacraments were received in Kewanee (Visitation Church or St. Francis Church, those files are on record at the Parish Office.
Comments / Questions
By registering my child(ren) in the Saint John Paul II Religious Education Program, I understand that:
My family must be currently registered at Saint John Paul II Parish.
Completion of of this form does not register my child for Sacramental Preparation (First Reconciliation, First Communion, or Confirmation).
Please see details in handbook requirements information.
You will still need to sign a registration form on one of the scheduled registration dates (August 20, 21, 27, and 28 after each Mass) or stop by the Parish Office at your convenience to provide your signature.
I Agree
Please select this field.
Submit
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