Please mail completed registration form to Registration Contact person. Contact persons are listed on the Diocesan website (www.diopitt.org). 
Check with your Catechetical Administrator for this information. 
This form must be returned to REGISTRATION CONTACT person with payment no later than seven days (7) before course starting date.

Date _________________________________________ 

Name __________________________________________________________________________________

(Last name) (First name)

Address (Home) __________________________________________________________________________

City _________________________________________________ State _________ Zip Code ___________

Social Security Number LAST 4 DIGITS _______________ Phone Number __________________

Email__________________________________________________________________________________

Course Name __________________________________________________Course Starting Date ________________

Course Location _____________________________________ Deanery ____________________________________

Course Contact Person ____________________________________________________________________________

Master Catechist(s) ___________________________________________________________________________

Check Enclosed______________________ (PAYABLE TO DIOCESE OF PITTSBURGH )   Check # ________________

The Department for Religious Education reserves the right to cancel all classes with a registration of less than ten (10) paid registrants and also to change Master Catechist of a course/workshop without notice.