Catechesis Registration Child Information Child's full name Civic Address Phone Date of Birth Date of Baptism Place of Baptism Date of Confirmation Age and school year Known Allergies Known Illnesses Learning disabilities NoAutism Spectrum DisorderHyperactivity DisorderDislexiaOther Additional comments Child has taken catechism classes NoYes Place Level —Please choose an option—Level 0 (5 years)Level 1 (6 years old)Level 2 (7 years old)Level 3 (8 years to 9 years) Preparation course for the first communionLevel 4 (A) (9 to 10 years old) Complementary course for level 3 post-communionLevel 4 (B) (8 to 9 years old) Course for those who have not had first communionLevel 5 (10 to 11 years old)Level 6 (11 to 12 years old)Level 7 (13 years and over)Other Parents Information Father's full name Phone Email Mother's full name Phone Email Additional Information Comments (optional) Δ