Student Registration Form – Church of the Little Flower – Religious Ed

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2711 Indian Mound Trail, Coral Gables, 33134

(305) 446-9950, Ext 307

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Student Registration Form

Religious Ed Class Registration

This form must be filled out for all students, whether new or returning.

Step 1 of 7 - Family Information

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Family Information
Mother's Full Name*
First Middle (Maiden Last Name)
Father's Full Name*
First Middle Last
Primary Email Address*
Enter Email Confirm Email
Secondary Email Address
Enter Email Confirm Email
Primary Phone*
Secondary Phone
Address*
Street Address Address Line 2 City State ZIP Code
Parish Registration Status
If registered at another parish, please also provide a letter of permission to enroll your child(ren) in the COTLF Religious Education Program.
Parish Registration Status*
- COTLF Active Parishioners
- Registered/Active at Another Parish
- Please Register Me as a COTLF Parishioner
COTLF Envelope Number:
At What Parish Are You Registered & Active?*
Family Photo
This photo will not be published or shared and is only used for internal identification purposes. A photo showing both parents and child(ren) is preferred.
Please submit a family photo.
Number of Children
How Many Children are Being Enrolled?*
Total Due:
$0.00
Please select the accurate number of children being enrolled in classes . This selection will affect subsequent pages of this registration form. Payment can be made online, cash, or by check payable to "Church of the Little Flower."

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(First or Only) Child's Information
Child's Name*
First Middle Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Gender*
- Male
- Female
Grade Level*
Name of School Child Attends:*
Does the Child have any Allergies, Medical, or other Special Needs?
Child's Sacramental History
Has your child been Baptized?*
- Yes, Roman Catholic
- Yes, Other/Christian
- Not Baptized
Date of Baptism*
Date Format: MM slash DD slash YYYY
Church of Baptism*
Name of Church City State / Province / Region Country
Has your child received First Holy Communion?*
- No
- Yes
Date of First Communion*
Date Format: MM slash DD slash YYYY
Church of First Holy Communion:*
Name of Church City State / Province / Region Country
Previous Religious Education
Was your child enrolled in a Catholic School or Parish Religious Education Program during the Previous School Year?*
- No
- Yes, at Church of the Little Flower/St Theresa School
- Yes, at another Parish/Catholic School
At What Parish/Catholic School?*
Class Day Selection
No Class Selections this year. All Classes will begin virtually!
Please make requests for family members or friends to be placed together here. (MUST BE IN SAME GRADE LEVEL)

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Second Child's Information
If registering only 1 child, please navigate back to Page 1 and adjust the "Number of Children" option to the correct selection.
Child's Name*
First Middle Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Gender*
- Male
- Female
Grade Level*
Name of School Child Attends:*
Does the Child have any Allergies, Medical, or other Special Needs?
Child's Sacramental History
Has your child been Baptized?*
- Yes, Roman Catholic
- Yes, Other/Christian
- Not Baptized
Date of Baptism*
Date Format: MM slash DD slash YYYY
Church of Baptism*
Name of Church City State / Province / Region Country
Has your child received First Holy Communion?*
- No
- Yes
Date of First Communion*
Date Format: MM slash DD slash YYYY
Church of First Holy Communion:*
Name of Church City State / Province / Region Country
Previous Religious Education
Was your child enrolled in a Catholic School or Parish Religious Education Program during the Previous School Year?*
- No
- Yes, at Church of the Little Flower/St Theresa School
- Yes, at another Parish/Catholic School
At What Parish/Catholic School?*
Class Day Selection
No Class Selections this year. All Classes will begin virtually!
Please make requests for family members or friends to be placed together here. (MUST BE IN SAME GRADE LEVEL)

Save and Continue Later

Third Child's Information
If registering less than 3 children, please navigate back to Page 1 and adjust the "Number of Children" option to the correct selection.
Child's Name*
First Middle Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Gender*
- Male
- Female
Grade Level*
Name of School Child Attends:*
Does the Child have any Allergies, Medical, or other Special Needs?
Child's Sacramental History
Has your child been Baptized?*
- Yes, Roman Catholic
- Yes, Other/Christian
- Not Baptized
Date of Baptism*
Date Format: MM slash DD slash YYYY
Church of Baptism*
Name of Church City State / Province / Region Country
Has your child received First Holy Communion?*
- No
- Yes
Date of First Communion*
Date Format: MM slash DD slash YYYY
Church of First Holy Communion:*
Name of Church City State / Province / Region Country
Previous Religious Education
Was your child enrolled in a Catholic School or Parish Religious Education Program during the Previous School Year?*
- No
- Yes, at Church of the Little Flower/St Theresa School
- Yes, at another Parish/Catholic School
At What Parish/Catholic School?*
Class Day Selection
No Class Selections this year. All Classes will begin virtually!
Please make requests for family members or friends to be placed together here. (MUST BE IN SAME GRADE LEVEL)

Save and Continue Later

Fourth Child's Information
If registering less than 4 children, please navigate back to Page 1 and adjust the "Number of Children" option to the correct selection.
Child's Name*
First Middle Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Gender*
- Male
- Female
Grade Level*
Name of School Child Attends:*
Does the Child have any Allergies, Medical, or other Special Needs?
Child's Sacramental History
Has your child been Baptized?*
- Yes, Roman Catholic
- Yes, Other/Christian
- Not Baptized
Date of Baptism*
Date Format: MM slash DD slash YYYY
Church of Baptism*
Name of Church City State / Province / Region Country
Has your child received First Holy Communion?*
- No
- Yes
Date of First Communion*
Date Format: MM slash DD slash YYYY
Church of First Holy Communion:*
Name of Church City State / Province / Region Country
Previous Religious Education
Was your child enrolled in a Catholic School or Parish Religious Education Program during the Previous School Year?*
- No
- Yes, at Church of the Little Flower/St Theresa School
- Yes, at another Parish/Catholic School
At What Parish/Catholic School?*
Class Day Selection
No Class Selections this year. All Classes will begin virtually!
Please make requests for family members or friends to be placed together here. (MUST BE IN SAME GRADE LEVEL)

Save and Continue Later

Fifth Child's Information
If registering less than 5 children, please navigate back to Page 1 and adjust the "Number of Children" option to the correct selection.
Child's Name*
First Middle Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Gender*
- Male
- Female
Grade Level*
Name of School Child Attends:*
Does the Child have any Allergies, Medical, or other Special Needs?
Child's Sacramental History
Has your child been Baptized?*
- Yes, Roman Catholic
- Yes, Other/Christian
- Not Baptized
Date of Baptism*
Date Format: MM slash DD slash YYYY
Church of Baptism*
Name of Church City State / Province / Region Country
Has your child received First Holy Communion?*
- No
- Yes
Date of First Communion*
Date Format: MM slash DD slash YYYY
Church of First Holy Communion:*
Name of Church City State / Province / Region Country
Previous Religious Education
Was your child enrolled in a Catholic School or Parish Religious Education Program during the Previous School Year?*
- No
- Yes, at Church of the Little Flower/St Theresa School
- Yes, at another Parish/Catholic School
At What Parish/Catholic School?*
Class Day Selection
No Class Selections this year. All Classes will begin virtually!
Please make requests for family members or friends to be placed together here. (MUST BE IN SAME GRADE LEVEL)

Save and Continue Later

Is There Anything Else You Would Like Us to Know?
Optional File Uploads
The Parent Consent Form and a copy of each student's birth, baptism, and - if applicable - first communion certificates must be kept on file. Scans or pictures of the consent form and/or certificates can be attached here or can be emailed to the Parish DRE.
Certificates that have previously been submitted do not have to be submitted again.
Total Due:
$0.00
Payment accepted via cash or check, payable to "Church of the Little Flower." Credit and debit cards can be used via Online Giving, with a $7 processing fee added.
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

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2711 Indian Mound Trail
Phone: (305) 446-9950, Ext 307
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