2017-2018 NEW FAMILY REGISTRATION
New families only

Saint Thomas Aquinas Parish Religious Education

1719 Post Road, Fairfield, CT. 06824 Office: (203)255-1984 FAX: (203) 256-9305

DUE JULY 31, 2017

Please Print:

______

FAMILY Last Name Address Street City/State Zip

______ Mother’s Last Name Mother’ First Name Mother’s MAIDEN Name (required) Mother’s Email

______

Mother’s Home Phone Mother’s Work Phone Mother’s Cell Phone

______

Father’s Last Name Father’s First Name Father’s Email

______

Father’s Home Phone Father’s Work Phone Father’s Cell Phone

Additional address of Parent (If different): ______

Father’s Religion: ______Mother’s Religion: ______

Marital Status: Married ___ Single ___ Divorced ___ Separated ___ Mother or Father deceased ______

Church and place of Marriage (name of church, City/State):______

EMERGENCY CONTACT: (person to call during class time, other than parent)

Name: ______Relationship to child/ren: ______

Home phone: ______Cell phone: ______

I grant permission to St. Thomas Aquinas Religious Ed. Staff/Volunteer to act on my behalf in case of emergency:

______

Signature of Parent/Guardian

Fees and Payment:Please include payment (cash or check) with this form.

Mail check (or deliver) to: Saint Thomas Aquinas Religious Education, 1719 Post Road, Fairfield, CT 06824

Tuition:$175.00 - 1 Child$285.00 - 2 Children $380.00 - 3 or moreChildren

Please add sacramental fee of $60.00 for each child in grade 2, and $75.00 for each child in grade 8.

Tuition is the same amount for Homeschooled students.

Please make check payable to: Saint Thomas Aquinas Parish

Tuition/s+ ______

Sacramental fee/s (if applicable) + ______

Optional donation to the St. Thomas Aquinas

Religious Education Tuition Assistance Program +______ (any amount is appreciated)

Total = $______

Please consider volunteering. Tuition, (not sacramental fee) is waived for volunteers. Volunteers must be at least 18 years of age AND be VIRTUS trained and certified. Please see Director of Religious Education or office assistant for VOLUNTEER Form.

CLASS SCHEDULES: Mondays: Grade 8 (all schools) 7:15pm-8:15pm Mondays: Grades 6 and 7(all schools) 6:00pm -7:00pm

Tuesdays: Grades 1, 3, 4 and 5 (Dwight, Jennings, Mill Hill, Sherman, Burr, and Private schools) 4:15pm-5:15pm

Wednesdays: Grades 1, 3, 4 and 5 (McKinley, Holland Hill, Stratfield, N. Stratfield, Osborn Hill, and Riverfield) 4:15pm-5:15pm

Thursdays: Grade 2 (all schools) 4:15pm-5:15pm

We will need copies ofBaptismal Certificates for each child enrolled, plus any additionalsacramental information (First Penance, First Eucharist dates, etc.) for older children.Please use back of form if more space is needed.

Child/ren Registration Information *Homeschool is not an option for grades 2, 7, and 8

______Date of Birth:______Gender ____

1. Child’s First Name Middle Name Last Name (Month/Day/Year)

School attending: Grade in 2017-18:____Do you plan to Homeschool* (Y/N)? ____

Baptism______

(Month/Day/Year) Church Name Church Address City State

Eucharist______

(Month/Day/Year) Church Name Church Address City State

Reconciliation______

(Month/Day/Year) Church Name Church Address City State

Please note special needs (allergies, learning, social, physical, EPI-PEN, etc.):______

______Date of Birth:______Gender ___

2. Child’s First Name Middle Name Last Name (Month/Day/Year)

School attending: Grade in 2017-18: ____ Do you plan to Homeschool* (Y/N)? ____

Baptism______

(Month/Day/Year) Church Name Church Address City State

Eucharist______

(Month/Day/Year) Church Name Church Address City State

Reconciliation______

(Month/Day/Year) Church Name Church Address City State

Please note special needs(allergies, learning, social, physical, EPI-PEN, etc.):______

______Date of Birth:______Gender ____

3. Child’s First Name Middle Name Last Name (Month/Day/Year)

School attending: Grade in 2017-18: ____ Do you plan to Homeschool* (Y/N)? ____

Baptism______

(Month/Day/Year) Church Name Church Address City State

Eucharist______

(Month/Day/Year) Church Name Church Address City State

Reconciliation______

(Month/Day/Year) Church Name Church Address City State

Special request for classroom placement (for carpooling purposes, etc.):______

We will do our best to honor requests received by the registration deadline. Requests received after the deadline are not guaranteed.

Photo disclaimer: I give the Saint Thomas Aquinas Religious Education Program permission to use my child/ren’s photo on the STA Religious Ed Facebook page

bulletin boards, and/or other publications for the Church or Diocese use only: ______

Signature of Parent/Guardian