St. therese of the
Little Flower Catholic Church

875 E. Plumb Lane, Reno, NV

Facebook Instagram YouTube Phone

Search

Registration (2020-2021)

- Sacraments

The maximum number of form submissions has been reached. This form is currently not available.
- Confirmation Registration
- Confirmation Year REQUIRED Please fill out this field.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name 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.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- High School/Grade REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Mother's Name Please enter valid data.
- Mother's Phone Number Please enter a phone number.
- Mother's Email Please enter an email address.
- Father's Name Please enter valid data.
- Father's Phone Number Please enter a phone number.
- Father's Email Please enter an email address.
- You should be aware of these special medical conditions of my child:
- I understand that by submitting my registration I will be redirected to the payment page and that my registration will not be complete until I make the $80 payment. Please select this field.
Submit