Reconnect

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Father's Name - First Last REQUIRED Please fill out this field. Please enter valid data.
Street 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.
Father's Email REQUIRED Please fill out this field. Please enter an email address.
Father's Primary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Type of phone REQUIRED Please fill out this field.
Father's Religion Please enter valid data.
Mother's Name - First Maiden Last REQUIRED Please fill out this field. Please enter valid data.
Mother's Email REQUIRED Please fill out this field. Please enter an email address.
Mother's Primary Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Type of phone REQUIRED Please fill out this field.
Mother's Religion Please enter valid data.
Emergency Contact Name Please enter valid data.
Emergency Contact Phone number Please enter valid data.
Relationship to Child Please enter valid data.
- Number of Children Registering for ReConnect REQUIRED Please fill out this field.
- Child's Information 1
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Grade in 2021-22 REQUIRED Please fill out this field.
  - Gender REQUIRED MALE FEMALE Please fill out this field.
  - Date of Baptism REQUIRED Please fill out this field. Please enter a date.
  - Place of Baptism (Church, city, state, or n/a) REQUIRED Please fill out this field. Please enter valid data.
  - Date of First Reconciliation (date or n/a) REQUIRED Please fill out this field. Please enter valid data.
  - Place of First Reconciliation (Church, city, state, or n/a) REQUIRED Please fill out this field. Please enter valid data.
  - Date of First Eucharist (date or n/a) Please enter valid data.
  - Place of First Eucharist (Church, City, State or n/a REQUIRED Please fill out this field. Please enter valid data.
  - Faith Formation Received in the past REQUIRED N/A CCASTA Other (please state name in field below) Please fill out this field.
  - OTHER location Please enter valid data.
  - Last grade when in a faith formation program REQUIRED 2nd 3rd 4th 5th N/A Please fill out this field.
  - Does your child have allergies? Please describe. REQUIRED Please fill out this field. Please enter valid data.
- Child's Information 2
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Grade in 2021-22 REQUIRED Please fill out this field.
  - Gender REQUIRED MALE FEMALE Please fill out this field.
  - Date of Baptism REQUIRED Please fill out this field. Please enter a date.
  - Place of Baptism (Church, city, state, or n/a) REQUIRED Please fill out this field. Please enter valid data.
  - Date of First Reconciliation (date or n/a) REQUIRED Please fill out this field. Please enter valid data.
  - Place of First Reconciliation (Church, city, state, or n/a) REQUIRED Please fill out this field. Please enter valid data.
  - Date of First Eucharist (date or n/a) Please enter valid data.
  - Place of First Eucharist (Church, City, State or n/a REQUIRED Please fill out this field. Please enter valid data.
  - Faith Formation Received in the past REQUIRED N/A CCASTA Other (please state name in field below) Please fill out this field.
  - OTHER location Please enter valid data.
  - Last grade when in a faith formation program REQUIRED 2nd 3rd 4th 5th N/A Please fill out this field.
  - Does your child have allergies? Please describe. REQUIRED Please fill out this field. Please enter valid data.
- Child's Information 3
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Grade in 2021-22 REQUIRED Please fill out this field.
  - Gender REQUIRED MALE FEMALE Please fill out this field.
  - Date of Baptism REQUIRED Please fill out this field. Please enter a date.
  - Place of Baptism (Church, city, state, or n/a) REQUIRED Please fill out this field. Please enter valid data.
  - Date of First Reconciliation (date or n/a) REQUIRED Please fill out this field. Please enter valid data.
  - Place of First Reconciliation (Church, city, state, or n/a) REQUIRED Please fill out this field. Please enter valid data.
  - Date of First Eucharist (date or n/a) Please enter valid data.
  - Place of First Eucharist (Church, City, State or n/a REQUIRED Please fill out this field. Please enter valid data.
  - Faith Formation Received in the past REQUIRED N/A CCASTA Other (please state name in field below) Please fill out this field.
  - OTHER location Please enter valid data.
  - Last grade when in a faith formation program REQUIRED 2nd 3rd 4th 5th N/A Please fill out this field.
  - Does your child have allergies? Please describe. REQUIRED Please fill out this field. Please enter valid data.
- Child's Information 4
  - First Name REQUIRED Please fill out this field. Please enter valid data.
    
    Last Name REQUIRED Please fill out this field. Please enter valid data.
  - Date of Birth REQUIRED Please fill out this field. Please enter a date.
  - Grade in 2021-22 REQUIRED Please fill out this field.
  - Gender REQUIRED MALE FEMALE Please fill out this field.
  - Date of Baptism REQUIRED Please fill out this field. Please enter a date.
  - Place of Baptism (Church, city, state, or n/a) REQUIRED Please fill out this field. Please enter valid data.
  - Date of First Reconciliation (date or n/a) REQUIRED Please fill out this field. Please enter valid data.
  - Place of First Reconciliation (Church, city, state, or n/a) REQUIRED Please fill out this field. Please enter valid data.
  - Date of First Eucharist (date or n/a) Please enter valid data.
  - Place of First Eucharist (Church, City, State or n/a REQUIRED Please fill out this field. Please enter valid data.
  - Faith Formation Received in the past REQUIRED N/A CCASTA Other (please state name in field below) Please fill out this field.
  - OTHER location Please enter valid data.
  - Last grade when in a faith formation program REQUIRED 2nd 3rd 4th 5th N/A Please fill out this field.
  - Does your child have allergies? Please describe. REQUIRED Please fill out this field. Please enter valid data.
ReConnect Program Tuition REQUIRED Please fill out this field.
For situations regarding legal custody and persons to whom children can be released, contact our office at 410-796-8150.
For questions regarding tuition assistance, please contact our office at 410-796-8150.
In the interest of promoting and chronicling activities, the Catholic Community of Ascension and St Augustine often records events and activities with video, photographs, or other media. Material may be used in print, at meetings, or on this parish website. The security of your child is our top priority. No personal information will ever be included in any of the material. By participating in the GIFT program, you agree to this.
I Understand Please select this field.

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Reconnect

Ascension Church

St Augustine Church

Ascension Church Church: 1527 Potomac Avenue Office: 4603 Poplar Avenue Halethorpe, MD 21227 410-242-2292	St Augustine Church 5976 Old Washington Road Elkridge, MD 21075 410-796-1520