Thank you for registering for St. Raphael Religious Education.
 Classes begin on October 1st, 2nd, 3rd and 10th, depending on your selection.
 Please note that your child's schedule will be sent to you the last week in August.
 If you have any questions please call us at 630-615-7614.

Click Submit Form to send this information to St. Raphael Church.

*Required fields

Instructions Please select your class/Catechist from the list provided.

Student 1   Type  
Title *First Name *Last Name Suffix
Relationship *Middle Name   Nickname
*Birth Date *Gender Female   Male
*Grade/Degree   Language
*Class Choices
*Class 1
Student Remarks
  General Remarks
  Health Problems
  Misc. Information

*Family Option  New Family Information  Update Existing Family Information ID/Env:  

Head of Household
*Title *First Name *Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date *Gender Female   Male
Grade/Degree   Language Marital Status

Spouse
Title   First Name   Last Name Suffix
Relationship   Middle Name   Nickname Maiden Name
Ethnicity   Birth Date   Gender Female   Male
Grade/Degree   Language Marital Status

Family Street Address
*Line 1
  Line 2
*City
*State
*ZIP

Family Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Family Email Address
*Email   Unlisted
Send Email Instead of Mail When Possible
Family Remarks
  Remarks


Click Submit Form to send this information to St. Raphael Church.