St. Gall Parish and St. Simon Chapel

Mother’s Name

First Name *

Last Name *

Mobile

Email Address *

Street Address *

Unit number or C/O

Country

State *

City *

Zip *

Save Profile

Password *

Confirm Password *

Father's information

First Name *

Last Name *

Mobile *

Email *

Emergency contact

First Name *

Last Name *

Mobile *

Email *

Children Information

Name *

Age *

Grade (starting Sept.) *

Preferred Shift *

Year in Formaton *

Does the child has any medical condition? If so, what? *

Birthdate *

Baptism Place and Date *

Add Another

Due TODAY (Reg. Fee)

Religious Education Tuition

FEE

Payment Frequency

Payment Start Date

Payment End Date

** A processing fee will be added to your payment: 3.45% for credit card or 0.4% for electronic check.

Religious Education Sacramental fee (Second year)

FEE

Payment Frequency

Payment Start Date

Payment End Date

I would like to cover the processing fee.

Certificates

Child 1 Birth Certificate (IF NOT baptized)

Child 1 Baptismal Certificate *

Child 1 First Communion Certificate - If registering for Confirmation *

Child 2 Birth Certificate (IF NOT baptized) *

Child 2 Baptismal Certificate

Child 2 First Communion Certificate - If registering for Confirmation

Child 3 Birth Certificate (IF NOT baptized)

Child 3 Baptismal Certificate

Child 3 First Communion Certificate - If registering for Confirmation

Payment Information

Choose Payment Method

Credit Card

Bank Account

Next you can easily make your payment using Donor-Advised Fund.

Enter your credit card details below:

Name on Card *

Card Number *

Expiration *

CVV *

Country

Zip *

Next you can easily make your payment using the selected digital wallet.

Enter your bank account details below:

Account Name *

Bank Name *

Routing Number *

Account Number *

Account Type *

Country

Zip *

Mother’s Name

Father's information

Emergency contact

Children Information

Due TODAY (Reg. Fee)

Certificates

Payment Information

Enter your credit card details below:

Enter your bank account details below:

You have selected cash as your payment method:

Enter your check payment details below:

You have chosen to be billed at a later time:

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