Welcome to CTK Religious Education. Visit our web site at www.ctktopeka.org for
 more information.

Click Submit Form to send this information to Christ The King.

*Required fields

Instructions Please make your student's class selection below. I will do my best to accommodate your request. Fees are as follows: 1 student= $80, 2 students= $160, 3 or more= $180. If you would like to pay your fee online, wait until after you submit this form and you will be directed to EasyTithe, CTK's online payment service.

Student 1   Type  
*First Name *Last Name
Relationship   Middle Name   Nickname
*Birth Date *Gender Female   Male
*Grade/Degree *School
*Photo Waiver
  Phone 1 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible
Sacraments   Name Received Date Place
   Baptism
   Penance
   1st Comm
*Class Choices
*Class 1
  Class 2
Student Remarks
  Health Problems
  Remarks

Student 1's Contact 1
  First Name   Last Name
  Relationship
Phone Numbers
  Primary ( ) - Unlisted
  Other ( ) - Unlisted

*Family Option  New Family Information  Update Existing Family Information ID/Env:  

Head of Household
*First Name *Last Name
Relationship
  Birth Date *Gender Female   Male
Marital Status
  Photo Waiver
  Phone 1 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible

Spouse
  First Name   Last Name
Relationship Maiden Name
  Birth Date   Gender Female   Male
Marital Status
  Photo Waiver
  Phone 1 ( ) - Unlisted
  Email 1   Unlisted
Send Email Instead of Mail When Possible

Family Street Address
*Line 1
*City
*State
*ZIP
  Church

Family Phone Numbers
*Primary ( ) - Unlisted
  Other ( ) - Unlisted
Family Email Address
*Email   Unlisted
Send Email Instead of Mail When Possible


Click Submit Form to send this information to Christ The King.